Volume 27, Issue 137, July 2023

An 82-year-old patient with a tibial plateau fracture and the impacts of comprehensive rehabilitation: A case report

Ruchika Zade^1♦, Pratik Phansopkar²

¹Resident, Department of Neuro-Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
ORCID: 0000-0003-0533-6235
²Professor, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
ORCID: 0000-0003-3635-8840

^♦Corresponding author
Resident, Department of Neuro-Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
ORCID: 0000-0003-0533-6235

ABSTRACT

Tibial plateau fractures, which are a rare injury to the proximal tibia, range in severity from minimal displaced stable fractures to high energy complicated fractures with severe articular and metaphyseal comminution and injury to soft tissues. The consequences concerning tibial plateau fractures include stability and function with regard to knee, a crucial weight-bearing joint. In addition to management-related issues including High-energy, discus articularis, injuries of tibial plateau may lead to later sequelae that is different collapse, implant failure, and arthritis of the knee joint. Wound Destruction and critical comminution lead to malalignment. An 82-year-old man who had previously suffered injuries from an automobile accident to his right leg was brought to the hospital's emergency room. After admission, an X-ray was taken, and it showed a compound grade 3A fracture on the right side of the distal 1/3 of the tibia and fibula. After that, he underwent surgery (debridement and extra-cutaneous plate fixation), and directed toward physiotherapy. There are difficulties for the operating physician because each fracture necessitates a unique surgical strategy. Anatomical reduction and restoration of the joint line are required for firm fixation and prompt joint mobilization following a tibial plateau fracture. This drastic complex injury and successfully treated tibial shaft fracture, the knee joint function recovered satisfactorily. The exercises and training improved the patient's standard of living in bed mobility. The client improved his postural stability, lower limb strength, and muscle strength due to functional re-education, which also improved the muscle's strength and endurance.

Keywords: Debridement, tibial plateau fractures, soft tissue, external fixation, extra cutaneous, reduction

Medical Science, 2023, 27, e298ms3110

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DOI: https://doi.org/10.54905/disssi/v27i137/e298ms3110

Published: 18 July 2023