Effect of Novel based Postoperative physiotherapy rehabilitation on functional outcome in Malunited supracondylar fracture of femur and proximal tibia fracture following implant removal

Anjali Vikas Nawkhare, Swapna Jawade, Om C. Wadhokar

Ravi Nair Physiotherapy College, Wardha, Maharashtra, India

ABSTRACT

Supracondylar femur fractures are common fractures that represent a management challenge. Despite consistent fracture patterns and predictable challenges associated with reduction and stabilization, complications, including malunion, nonunion, and implant failure, can occur in patients who undergo treatment for the management of a supracondylar femur fracture. A 25-year male patient reported complaints of pain and difficulty to perform movements of hip joint and weakness in the right leg. On investigations patient was diagnosed as a supracondylar fracture and proximal 1/3rd shaft of femur fracture. Patient was operated with open reduction and internal fixation with interlocking plating.Patient was referred to physiotherapy OPD following implant removal with the findings of malunited fracture with complaints of intense pain in right leg and difficulty while walking , sitting, climbing stairs and sudden pain while lifting the affected leg . Post-operative Rehabilitation protocol was given into 4 phases, 5 days per week for 8 weeks. The key treatment of Rehabilitation protocol was paraffin wax bath, CPM, patellar mobilization along with scar mobilization, Mainland's Mobilization and Hold relax technique of PNF and strengthening exercises. So it is concluded that Novel based Postoperative physiotherapy rehabilitation was effective in malunited supracondylar fracture of femur and proximal tibia fracture following implant removal for reduction of pain and early regain of range of motion, strength and functional activities.

Keywords:

Supracondylar Fracture, Malunion, Implant Removal, Proximal Tibia Fracture, Physiotherapy Management