• P Checa Betegón, J Valle Cruz, J García Coiradas, A Rodríguez González, A González Pérez, E Torrecilla Cifuentes, and F Marco.
• Department of Traumatology and Orthopaedic Surgery, Hospital Clínico Universitario San Carlos, Madrid, Spain. Electronic address: pachebet@gmail.com.
• Injury. 2020 Apr 1; 51 Suppl 1: S48-S54.

AbstractFractures in poliomyelitic limbs are a challenge to surgeons, due to polio's sequelae and morphological disorders, which make conventional osteosynthesis difficult. We present a retrospective study of 62 patients and 73 non-simultaneous fractures in their lower limbs. Average age was 61,7 years and 53,2% were females. We analyzed the preinjury functional level, etiology of the fracture, fracture pattern, treatment used (be conservative or surgical), and implant used in surgical cases. We treated 85,1% of them surgically and 37,9% of them maintained the same functional situation as before the fracture. 55,4% of them experienced the need to add some mechanical aids after the lesion and 6,8% lost the ability to walk. Most of the surgical treatments employed were similar as the ones used in non-poliomyelitic patients, although some cases required atypical implants, such as a Multiloc (® DePuy Synthes) humeral nail for a tibial shaft fracture, due to narrow bone. Mortality along the 1st year was 2.7%. We found similar functional and radiological results as those described in non-poliomyelitic limbs.Copyright © 2020. Published by Elsevier Ltd.

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