{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:36:33Z","timestamp":1787754993281,"version":"build-2784847793"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n \n \n \u00bb Post-polio syndrome is characterized by a late functional deterioration (usually after \u226515 years from the initial infection) in patients with a history of paralytic poliomyelitis infection, and it is defined by the March of Dimes criteria.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Patients with post-polio syndrome are at increased risk for falls and associated hip and femoral fractures as a result of lower bone mineral density, decreased lean muscle mass, and musculoskeletal deformities.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Current evidence suggests that treatment modalities for femoral fractures should emphasize fixation that allows early progressive weight-bearing and ambulation to optimize functional outcomes.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Good results after hip arthroplasty have been described with both cemented and uncemented implants in patients who have been treated for osteoarthritis, but there has been little evidence guiding hip fracture management. Anatomic challenges that are encountered are osteoporotic bone, a valgus neck-shaft angle, increased femoral anteversion, and a small femoral canal diameter.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Intramedullary nailing of hip and femoral fractures can be challenging due to the small femoral canal diameter that frequently is encountered. Alternative methods of fixation have shown promising results. These include the use of sliding hip screws for hip fracture management and fixed-angle locking plates for hip and femoral fracture management.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>","DOI":"10.2106\/jbjs.rvw.19.00146","type":"journal-article","created":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T10:01:29Z","timestamp":1591092089000},"page":"e0146-e0146","source":"Crossref","is-referenced-by-count":9,"title":["Management Options and Outcomes for Patients with Femoral Fractures with Post-Polio Syndrome of the Lower Extremity"],"prefix":"10.2106","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1043-8669","authenticated-orcid":false,"given":"Simon P.","family":"Garceau","sequence":"first","affiliation":[{"name":"Division of Orthopaedics, Joseph and Wolf Lebovic Health Complex, Mount Sinai Hospital, Toronto, Ontario, 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