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Will the sequelae of polio get worse with age? Invite experts to answer questions.

Can sequela of poliomyelitis be cured when it is old? Will the sequelae of polio become more and more serious with age?

Many patients leave messages about these two questions, and then I will explain them to you:

1. Generally, pediatric anesthesia patients will not get worse with age after operation, and it is no problem to return to normal walking after a series of rehabilitation training.

2. But if we give up treatment and let it develop, the sequelae of polio will be aggravated and other diseases will be caused.

It can be seen that early treatment of sequelae caused by polio can reduce a lot of injuries. So, how to treat the sequelae of polio?

First, we should choose a professional hospital to treat polio sequelae.

As a public hospital specializing in the treatment of poliomyelitis in Beijing, the Orthopedic Surgery Center of Beijing Shijitan Hospital has always been in a leading position in technology and equipment, and is one of the most advanced bases for polio treatment equipment. At the same time, a team of experts with polio characteristics, represented by senior experts such as Wang Jiangning, has gathered to bring the gospel to the people.

Second, according to the patient's condition, symptomatic treatment of polio-long and short legs.

For the clearance between legs within 1.5cm, nano-bone augmentation method was used.

Nano-bone is implanted in a minimally invasive way, with an incision of 0.5cm- 1.5cm. Generally, it is implanted from the heel and the top of the head, which can increase the overall height.

For the leg clearance above 1.5cm and below 10cm, the external fixator was used to prolong the leg clearance.

External fixator lengthening is the most commonly used lengthening and orthopedic surgery method at present. Its principle is to cut off the bones of the lower limbs that need surgery under surgical conditions, resulting in artificial fracture effect. After truncation, the skeleton can be deformed or elongated.

Wang Chuang Jiangning can achieve minimally invasive osteotomy of patients through unique surgical instruments, and only need 0.5cm wound to achieve osteotomy of both legs.

Treatment of polio-thick legs

Of course, in the clinical treatment of polio leg deformity, it is mainly aimed at the deformity caused by paralysis, and the recovery of limb function is completed through certain corrective surgery. In the late stage of poliomyelitis, limb contracture and flexion occur, and patients cannot stand and walk, resulting in limb dysfunction. Correcting dislocated bones and rebuilding limb function is the ultimate goal of polio to correct leg deformity. Traditional corrective surgery can show certain effects in treatment, but its disadvantages are relatively large trauma, slow recovery of patients and increased treatment burden.

With the continuous improvement of medical level, "artificial muscle therapy" has become a good way to cure polio sequelae. Before artificial muscle implantation, the patients were examined to find out the difference of calf thickness, skin tightness, muscle distribution and trend of the affected limb, so as to select the appropriate type of artificial muscle according to the patient's situation.

Technical advantages of artificial muscle implantation;

(1) Solve the thickness of legs: both thighs and calves can be filled, and the surgical incision is generally inside and outside the Achilles tendon, inside and outside the knee joint, and inside and outside the leg root. The incision is generally 3-5cm, and the effect of unilateral or bilateral can reach 80%-95% similarity from the front, but the effect is not good from the side. The best effect should be three pieces, that is, one on the left, one on the back and one on the right. However, due to the different tightness of individual skin, the number of patches to be filled depends on the situation.

(2) Increase part of muscle strength: both ends of the artificial muscle are fixed on the bone respectively, which has a certain pulling force. When the leg bends, it will form a reaction force under the action of elastic force, thus indirectly increasing the strength of leg extension.

Eczema-skeletal correction

For patients with skeletal deformities, minimally invasive techniques are used to correct paralytic limb deformities, and patients can achieve early deformity correction without suffering greater surgical pain. At the same time of operation, the patient was fixed with external fixator, and the theory of traction tissue regeneration was used to stimulate the division of cell tissue in the patient's limb and promote the growth and reduction of bone.

Professor Wang Jiangning is currently the vice president of Beijing Shijitan Hospital, helping the majority of pediatric anesthesia patients recover. The incidence of complications is significantly lower than that of traditional surgery, and it has been certified and included by the Ministry of Health. According to the clinical demonstration of the international medical community and the reports of many CCTV media at home and abroad.

This department has developed into a leading orthopedic department in Beijing for polio correction, diabetic foot and other diseases.

According to the official data of Beijing Millennium Monument Hospital, 95% of orthopedic inpatients come from other provinces and cities, mainly treating difficult cases in other provinces and cities, and the main directions are polio sequelae, cerebral palsy, limb deformity, diabetic foot, bedsore, replantation of severed limbs and repair of refractory wounds.

I hope that the vast number of polio patients can get treatment as soon as possible and have a healthy body.