Importance of early rehabilitation on range and mobility of post-operative schatzker type VI tibial plateau fracture

Vishnu Bhure, Mohammed Irshad Qureshi, Rakesh Krishna Kovela

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

ABSTRACT

According to the Schatzker-developed method, tibial plateau fractures are usually graded. Schatzker fractures of type VI are high-energy fractures often accompanied by other accidents and complications, such as post-operative inflammation, injuries, infections, and recovery. Physical therapy is a very necessary part of the recovery of patients on their path to return to or as close as possible to their pre-injury activity rate of Schatzker type VI fractures. This case of 60 years old male patient complains pain and swelling over the anterior part below the knee came to AVBRH, DMIMS (DU) Sawangi Meghe, Wardha, Maharashtra. He then diagnosed with Schatzker type VI tibial plateau fracture. Investigation of CBC, LFT, KFT, RBS, RT-PCR Chest X Ray PA view was done as an early intervention. Proximal tibia fracture right side without neurovascular deficit. (Schatzker type 6), Patient was managed with Open reduction internal fixation with bicondylar plate osteosynthesis right tibia was done under spinal + epidural anaesthesia. Therapeutic intervention mainly focused on range of motion and early rehabilitation. This severe commuted fracture and tibial shaft fracture were successfully reduced and got satisfactory recovery of knee joint function after 6 weeks. Thus, we would like to conclude that early rehabilitation by focussing on range of motion gives faster results.

Keywords:

Schatzker type VI fracture, Tibial Plateau Fracture, Physiotherapy; Rehabilitation; Weight Bearing Exercises.