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The Effectiveness of Physiotherapy Rehabilitation in an Adult With Multiple Joint Fractures - A Case Report
Anjali V Nawkhare1, Mitushi Deshmukh1, Sakshi Padmawar1
1Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute Of Higher Education and Research, Wardha, IND.
Abstract:
This case report details the rehabilitation procedure for a 35-year-old man involved in a vehicle accident that resulted in multiple joint fractures. The patient had fractures to the proximal tibia, left bimalleolar, posterior malleolus, fourth and fifth metacarpal heads, and second and third proximal phalanges. After open reduction and internal fixation surgery, an 8-12 week physical treatment regimen was put into place. Exercises for both passive and active range of motion, isometric and progressive resistance training, and gait training were provided. The rehabilitation goals were pain relief, increased range of motion, muscle strength, flexibility, endurance, and functional independence. Pain levels, range of motion, muscle strength, and general function all significantly improved between pre- and post-rehabilitation evaluations. Early mobilization and structured physical therapy were crucial in achieving these outcomes, highlighting the importance of tailored rehabilitation protocols for post-operative recovery.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Flail Chest-II
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