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Total hip replacement in patient with residual poliomyelitis with neglected femoral neck fracture
  1. Heba BinHussain1,
  2. Eman Elzwai2,
  3. Sarah Fox3 and
  4. Salem Langhi4
  1. 1Orthopaedic Department, Aljalla Hospital, Benghazi, Libya
  2. 2Department of Surgery, Benghazi Medical Center, Benghazi, Benghazi, Libya
  3. 3Alumna Homerton College, University of Cambridge, Cambridge, Cambridgeshire, UK
  4. 4Orthopaedic, Benghazi Medical Center, Benghazi, Libya
  1. Correspondence to Salem Langhi; shamana67{at}


A 71-year-old man with residual poliomyelitis was referred to the orthopaedic surgeons with a neglected left femoral neck fracture of the paralytic limb. He had presented at another hospital with left groin pain and inability to weight bear 4 weeks earlier after a fall from standing height, but had delayed treatment due to his insistence on waiting until he returned to his home country.

Successful treatment of residual poliomyelitis fractures requires early union as well as early mobilisation and rehabilitation. This patient presented to the orthopaedic surgeons with a challenging case due to the delay in treatment and the fact that the fracture was basicervical which results in an unstable fracture. Surgical expertise was required to decide on the optimum surgical option and a total hip arthroplasty was performed. The patient made a good recovery following physiotherapy as evidenced clinically and radiologically.

  • orthopaedics
  • orthopaedic and trauma surgery

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  • Contributors SL and HB identified the case and performed the surgery on the patient. SL and HB conceived the idea of preparing a case report. SL, EE and SF carried out extensive literature searches. EE, SL and SF prepared the manuscript draft with important intellectual input from HB, SF critically revised the manuscript for intellectual content and SL, HB and EE gave input as required. SL, HB, EE and SF all approved the final manuscript and agree to be accountable for all aspects of the work. SL is guarantor and accepts full responsibility of the work, had access to all the data and controls the decision to publish. We would like to thank the patient for supporting us and allowing us to publish this case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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