Volume 26, Issue 123, May 2022

Novel physiotherapeutic approach for multiple fractures of lower limb managed by osteosynthesis plating and external fixator: a case report

Anam Rajendra Sasun¹, Madhu Lakhwani^2♦, Pratik Phansopkar³

¹Intern, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
²Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
³Associate Professor& Head, Department of Musculoskeletal Physiotherapy Department, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha, India

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

ABSTRACT

Introduction: As substantial force is required to create lower extremity fractures, both femur and tibia/fibula fractures are typical outcomes of large, high-energy trauma. The modes of damage for tibia fibula fracture are divided into 2 groups: low and high energy injuries. The first one includes ground-level falls and athletic injuries, whereas the latter one occurs due to include Road traffic accidents. Supracondylar femur fractures are those that affect the femur's distal 15cm. Getting Knee movements back to their pre-injury level may be challenging due to the closeness of these fractures to the knee joint. Case Presentation: A 49-year-old male with compound grade II right-sided supracondylar fracture, and compound grade III B mid-shaft tibia fibula fracture of the right side was diagnosed by an orthopedic surgeon, on X-ray after a collision with a truck while the patient was rid-ding a bike sustaining injuries to limbs and head. On which ORIF with osteosynthesis plating for femur and tibia inter-locking nailing was done followed by skin grafting for wound healing. Following surgery, the patient's limb movements were limited and were unable to conduct his daily activities. Discussion: After the operation, the patient was treated with physical therapy, which included staticdynamic exercises, breathing exercises, strengthening exercises, wheelchair mobilization followed by gait training. Conclusion: The patient benefited from physiotherapeutic techniques that allowed him to conduct his daily tasks independently, which improved his pain and functional results.

Keywords: Tibia fibula fracture, supracondylar fracture, physiotherapy rehabilitation

Medical Science, 2022, 26, ms179e2144

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DOI: https://doi.org/10.54905/disssi/v26i123/ms179e2144

Published: 18 May 2022