Post-Operative Management Of Physiotherapy Rehabilitation In Case Of Femur Mid Shaft Fracture Operated With Flexible Nail: A Case Report
Volume 5 - Issue 4, April 2022 Edition
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Author(s)
Dr. Drashti Jani, Dr Sandip Parekh, Dr.Akta Dabgar
Keywords
Abstract
The incidence of femoral shaft fracture is most common due to fast and high-speed transportation and modern life style. To reduce morbidity post-operative physical therapy is essential. The patient was an 18-year-old male who was having right side displaced mid shaft femur fracture due to fall from terrace. The patient was a treated with CRIF using intramedullary flexible nailing. Following surgery patient complain of decrease quadriceps strength, hip and knee strength, decrease ROM of hip and knee, gait disturbance. Purpose of this study to evaluate early rehabilitation intervention programmed for surgical fixation of mid shaft femoral fracture which will focus on early weight bearing, strengthening of hip muscles like flexors, extensors, quadriceps, abductors and knee and hip ROM which will result in decrease impairment, decrease disability and improve functional capacities.
References
[1]. Hunter JB. Femoral shaft fractures in children. Injury. 2005 Feb 1;36:A86-93.
[2]. Thoresen BO, Alho A, Ekeland A, Strömsöe K, Follerås G, Haukebø A. Interlocking intramedullary nailing in femoral shaft fractures. A report of forty-eight cases. JBJS. 1985 Dec 1;67(9):1313-20.
[3]. Asplund CA, Mezzanotte TJ. Midshaft femur fractures in adults. Wolters Kluwer Health: www. uptodateonline. com. 2009.
[4]. Sanders DW, MacLeod M, Charyk-Stewart T, Lydestad J, Domonkos A, Tieszer C. Functional outcome and persistent disability after isolated fracture of the femur. Canadian journal of surgery. 2008 Oct;51(5):366
[5]. Stavrou PZ, Ciriello V, Theocharakis S, Gudipati S, Tosounidis TH, Kanakaris NK, Giannoudis PV. Prevalence and risk factors for re-interventions following reamed intramedullary tibia nailing. Injury. 2016 Dec 1;47:S49-52.
[6]. Host HH, Sinacore DR, Bohnert KL, Steger-May K, Brown M, Binder EF. Training-induced strength and functional adaptations after hip fracture. Physical therapy. 2007 Mar 1;87(3):292-303.
[7]. Beaupre LA, Jones CA, Saunders LD, Johnston DW, Buckingham J, Majumdar SR. Best practices for elderly hip fracture patients. Journal of general internal medicine. 2005 Nov;20(11):1019-25.