Novel physiotherapeutic approach towards a case of boyd and griffin type 2 intertrochanteric fracture

Sneha Agrawal, Om C Wadhokar, Swapna Jawade

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Inter-trochanteric fractures of femur are one of the commonest fractures encountered in orthopedic practice. It is mostly seen in the older age groups. An increased incidence of these fractures is noted these days owing to the increased life expectancy. An intertrochanteric fracture occurs along the line that is located between the greater and lesser trochanter. These fractures are seen most commonly in the elderly and are usually the result of a fall. The goal of care for this particular type of fracture should be to restore the patient to his or her preinjury status as quickly as possible. The potential benefits of operative intervention include rapid mobilization, ease of nursing care, shorter hospitalization, decreased mortality and restoration of function. A 60-year-old male with right sided Boyd and Griffin type 2, was diagnosed by orthopedic surgeon, after a fall, on which on which open reduction and fixation with proximal femoral nailing SOS dynamic hip screw was done. Post operatively the patient had impaired limb movements and inability to perform daily activities. After operation, patient was managed with physical therapy treatment comprising of static regimens, progressing to dynamic exercises, electrotherapeutic techniques, strengthening exercises, gait exercise for a duration of 10 weeks. Patient was given physiotherapy regime for 5 days per week for 10 weeks. This study shows that the operative method and timely recovery in physical therapy contributed to the progress of ROM, strength of muscle, functional activities progressively, which successfully led to further recovery.

Keywords:

Inter trochanteric Fracture, Boyd and Griffin type 2, Physical Rehabilitation