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

3.  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.

4.  1960 – 2525 cases  1965 – 61 cases  Rotary International £500m

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

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

7. Child –v- Adult

8.  Support the growing limb  Prevent deformity until growth stops

9.  Limb length  Support weak joint  Prevent instability

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

17.  Spine  Hip  Knee  Ankle & Foot

18. LOCKSFREE HINGE

20. RIGID ANKLE DROP FOOT (MPH)

22. Thank you