Richard G H Wallace MCh(Orth) MD FRCS Consultant Orthopaedic Surgeon

 1580 BC  1789 Michael Underwood  1935 Brodie & Kollmer  1940 Elizabeth Kenny  1948 Salk & Enders  1955 Inactivated Vaccine  1958 Sabin Oral Vaccine  1961 Cases of Polio associated with Oral Vac.

 1960 – 2525 cases  1965 – 61 cases  Rotary International £500m

 Destruction of anterior horn cells in the spinal cord  Flaccid paralysis  Sensation preserved

 Surgical - release contractures & correct deformity  Splintage - support joints & prevent progressive deformity

Child –v- Adult

 Support the growing limb  Prevent deformity until growth stops

 Limb length  Support weak joint  Prevent instability

 Conventional Calliper  Polyethylene Cosmetic Orthotics  Off the shelf supports

 Spine  Hip  Knee  Ankle & Foot

LOCKSFREE HINGE

RIGID ANKLE DROP FOOT (MPH)

Thank you