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首页> 美国卫生研究院文献>Case Reports in Medicine >Adult Hip Flexion Contracture due to Neurological Disease: A New Treatment Protocol—Surgical Treatment of Neurological Hip Flexion Contracture
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Adult Hip Flexion Contracture due to Neurological Disease: A New Treatment Protocol—Surgical Treatment of Neurological Hip Flexion Contracture

机译：成人因神经系统疾病引起的髋关节屈曲挛缩：一种新的治疗方案—外科手术治疗神经病学的髋关节屈曲挛缩

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Congenital, traumatic, or extrinsic causes can lead people to paraplegia; some of these are potentially; reversible and others are not. Paraplegia can couse hip flexion contracture and, consequently, pressure sores, scoliosis, and hyperlordosis; lumbar and groin pain are strictly correlated. Scientific literature contains many studies about children hip flexion related to neurological diseases, mainly caused by cerebral palsy; only few papers focus on this complication in adults. In this study we report our experience on surgical treatment of adult hip flexion contracture due to neurological diseases; we have tried to outline an algorithm to choose the best treatment avoiding useless or too aggressive therapies. We present 5 cases of adult hips flexion due to neurological conditions treated following our algorithm. At 1-year-follow-up all patients had a good clinical outcome in terms of hip range of motion, pain and recovery of walking if possible. In conclusion we think that this algorithm could be a good guideline to treat these complex cases even if we need to treat more patients to confirm this theory. We believe also that postoperation physiotherapy it is useful in hip motility preservation, improvement of muscular function, and walking ability recovery when possible.
机译：先天性，外伤性或外在性原因可导致人们出现截瘫；其中一些是潜在的；可逆的，其他则不是。截瘫可能导致髋关节屈曲挛缩，进而导致褥疮，脊柱侧弯和肥大症。腰痛和腹股沟痛是严格相关的。科学文献中有许多有关儿童神经系统疾病（主要由脑瘫引起）的髋关节屈曲的研究。成人中只有少数论文关注这种并发症。在这项研究中，我们报告了由于神经系统疾病导致的成人髋关节屈曲挛缩症的外科治疗经验。我们试图概述一种算法，以选择最佳的治疗方法，从而避免无用或过于激进的疗法。我们提出了5例由于采用我们的算法治疗的神经系统疾病引起的成人髋关节屈曲的案例。随访一年后，所有患者在髋关节活动范围，疼痛和行走恢复方面均取得了良好的临床效果。总之，即使我们需要治疗更多的患者以确认该理论，我们认为该算法也可能是治疗这些复杂病例的良好指南。我们还相信，术后物理疗法可用于保持髋部运动，改善肌肉功能以及在可能的情况下恢复步行能力。

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