Rehabilitation of patient with fracture of proximal tibia attachment of posterior cruciate ligament

Aditi Nagore, Snehal Samal, Ruchita Rao Chilkapurwar, Neha Chitale, Sakshi P. Arora, Pratik Phansopkar

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

ABSTRACT

The patellofemoral joint, tibiofemoral joint, and tibiofibular joint are the three joints of the knee. Two bones that articulate with each other are referred to as joints. When most people think of the knee, they think of the tibiofemoral joint. This is the joint that allows you to stretch and expand your knee. At the joint, there is a slight amount of movement. Ligaments are connective tissue bundles that connect one bone to another. The knee is stabilised by four major ligaments. The inside and outside of the knee have collateral ligaments. The cruciate ligaments, which cross in the centre of the knee to provide support, are the two largest ligaments. A 25-year-old male patient farmer by occupation with right hand dominance came with the complaint of pain, stiffness and swelling in right leg in knee joint with these complaints’ patient was referred for physiotherapy by the orthopaedic. Patient presented with the history of road traffic accident from his bike 10 days back, following which he had fracture of knee. After which X-ray and CT was done and patient was diagnosed with fracture of tibia attachment of Posterior cruciate ligament. Patient was diagnosed with fracture of tibia attachment of Posterior cruciate ligament. Therapeutic intervention for the patient comprised of patient education, thermotherapy, and range of motion exercises, joint mobilization and progressive resistive exercise. Final outcome of all this intervention showed improvement in function. Early physiotherapy intervention after surgical fixation should be started to improve quality of life, knee functioning and prevent chronic disability.

Keywords:

Posterior cruciate ligament injury, Physiotherapy, Rehabilitation