IN
POLIOMYELITIS
Prof.M.A.SEBAII
WAEL SAMIR
HISTORY OF PRESENT ILLNESS
- Female
- 57 years old
- Professor of radiology
- Known case of poliomyelitis affecting
both L.L.
- Left knee pain of long duration,
progressive course
- Progressive limitation of activity and
walking, frequent pain at rest
- Aids: 2 crutches
Examination of left knee
Patella:
Infera, Hypoplastic
Small art.surfsce.
Long peaked non art.
Tibia :
Hypoplastic m.canal
How?
- Insertion of the fem. Prosthesis in
hyperextesion (recurvatum)
- Special distal fem. Cutting jig designed with
anterior fem. Slop (Rota glide prosthesis)
-Drawback of fem. Comp.
hyperextesion position
Notching of the anterior
cortex
-Solution
upsize the fem.Component
-avoid notching
-stuff the joint ant.
Quad.lever arm.
Insertion of definite prosthesis.
No femoral notching
Post operative x-ray
Post operative x-ray
POST OPERATIVE
HYPEREXTENSION
POST OPERATIVE IN FLEXION
POSITION OF PATELLAR BUTTON
POST OPERATIVE
OVERALL ALIGNMENT
THANK YOU
PROF.M.A.SEBAEI
WAEL SAMIR