Volume 26, Issue 123, May 2022

The bad contretemps causes mid-shaft tibia and fibula fracture with traumatic amputation of 2nd toe: A case report

Neha N Bhagdewani¹, Madhu G Lakhwani², Pratik A Phansopkar^3♦

¹Intern, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, (Pin code – 442001), Maharashtra, India
²Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute Of Medical Sciences, Sawangi (M), Wardha, (Pin code – 442001), Maharashtra, India
³Associate Professor & HOD, Department of Musculoskeletal Physiotherapy Department, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha-442001, Maharashtra, India

^♦Corresponding author
Associate Professor & HOD, Department of Musculoskeletal Physiotherapy Department, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha-442001, Maharashtra, India

ABSTRACT

Background: The most complicated type of open bone fracture is a tibia-fibula diaphyseal fracture and an average of twenty percent mid-age with eight % affection of elderly. Depending on the size of the wound, bony injury and the level up to contamination, Gustilo and Anderson assigned Compound fractures grading it into 3. The standard treatment approaches used daily are Open reduction with internally or externally fixate, as well as intramedullary nailing gathering momentum to speed up early recovery and resuming normal functioning here are some techniques covered in this article. After a road accident, a 65-year-old male patient was diagnosed on x-ray with a compound Grade IIIB right mid-shaft tibia and fibula fracture with soft tissue destruction, compound grade 3B proximal phalanx fracture of great toe right side, traumatic amputation of 2nd toe right side, and nail avulsion of index finger right side, which required open reduction and external fixation. Pain, restricted ranges for the right lower extremity with the inability of weight- bearing on the same were some of the specific chief complaints informed by the patient. Following surgery, the patient received physiotherapy for 10 weeks, which included exercises, electrotherapy, proprioception training, and gait training, and resulted in pain relief, increased mobility and improved functional activities. Conclusion: The case study demonstrates that a traditional surgical approach combined with early structured physical rehabilitation resulted in a significant and progressive improvement in functional goals, which is an important factor in a successful recovery.

Keywords: Tibia-fibula fracture, Open reduction with external fixator, Physical Rehabilitation

Medical Science, 2022, 26, ms165e2137

PDF

DOI: https://doi.org/10.54905/disssi/v26i123/ms165e2137

Published: 07 May 2022