Case Report

Adult Hip Flexion Contracture due to Neurological Disease: A New Treatment Protocol—Surgical Treatment of Neurological Hip Flexion Contracture

Table 1

Patients and outcome.

CaseAgeGenderDiagnosisFlexed hipJoint TreatmentPFFPRFPWA Yes/No

134MIncomplete paraplegia Right HO + post dislocationTHA60°Y
236FIncomplete paraplegia Bilateral Normal Anterior AM45°Y
355MAlcoholic neuropaty Bilateral HO + OA THA + Anterior AM Right hip 45°20°Y
428MIncomplete paraplegiaLeftDysplasia Anterior AM + Girdlestone80°20°N
529MSpastic quadriplegia with dystoniaRightPost dislocation Posterior AM + Girdlestone90°30°N

PFF: preop hip fixed flexion.
PRF: postop hip residual flexion.
PWA: postop walking ability.
AM: arthromyolysis.
HO: heterotopic ossifications.
OA: osteoarthritis.