Volume 26, Issue 123, May 2022

Rehabilitation of a 75 year old female with Boyd and Griffin type 3 intertrochanteric fracture left side due to slip and fall along with right knee flexion deformity: A case report

Purva Mundada¹, Madhu Lakhwani¹, Pratik Phansopkar^2♦

¹Intern, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Sawangi Meghe, Wardha, Maharashtra, India
²Associate Professor; HOD, Department of Musculoskeletal Physiotherapy Department, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

^♦Corresponding author
Associate Professor; HOD, Department of Musculoskeletal Physiotherapy Department, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Intertrochanteric (IT) fractures are one of the most frequently encountered fractures in geriatric osteoporotic patients, and they are usually caused by trivial trauma such as a slip and fall. These fractures result in significant decrease in functional independence. Therefore, early physiotherapy rehabilitation post-operatively is crucial in regaining functional independence in ADLs. We present the case of a 75 year old female, who sustained injury to the left hip after experiencing slip and fall at home. Her relatives took her to the orthopaedics department of a tertiary care rural hospital, citing pain and swelling in her left hip as the main concerns. After investigations, patient was diagnosed with Boyd and Griffin type 3 IT femur fracture which was surgically managed by Open Reduction and Internal Fixation (ORIF) with Dynamic Hip Screw (DHS). Patient also had Fixed Flexion Deformity (FFD) over right knee. Post-operatively physiotherapy rehabilitation was initiated with the aim of restoring mobility, improving range of motion and muscle strength as well as reducing Flexion Deformity (FD) of right knee as much as possible. Patients endure secondary impairments such as diminished mobility, strength, and endurance, as well as increasing functional reliance, despite the fact that these fractures are effectively managed surgically. This case demonstrated that Physiotherapy rehabilitation as an adjunct to surgical management plays an important role in preventing secondary impairments and thus enhancing recovery.

Keywords: Intertrochanteric fracture, dynamic hip screw, knee flexion deformity, physiotherapy rehabilitation

Medical Science, 2022, 26, ms178e2186

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DOI: https://doi.org/10.54905/disssi/v26i123/ms178e2186

Published: 17 May 2022