Effect of early mobilization and gait training in post-operative winquisht type-IV, shaft femur fracture

Jaee Kapre, Laukik Vaidya, Rashmi Walke, Neha Chitale, Sakshi P. Arora, Pratik Phansopkar

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

ABSTRACT

One of the most common injuries addressed by orthopedic surgeons is femoral shaft fractures. Little finger metacarpal fractures are frequently isolated, closed, and have a simple fracture shape, with conservative care having little effect on patients' functional outcomes. These fractures are frequently accompanied with polytrauma and can be fatal. For physiologically stable individuals, intramedullary nailing (IMN) is the most commonly used therapy. Clinical Presentation: A 30 years old male meet with an RTA on which he had post-operative knee stiffness and injuring his mid shaft femur, little finger of hand and lacerated wound over abdomen. Internal fixation was done to fix the fracture segment because of the post operated knee stiffness from the previous operation his knee ranges where limited. Rehabilitation goals where set according to his knee stiffness. By the end of the rehab protocol he was able to do his ADL independently. The literature stated that the ultimate goal is to improve the weight bearing and gait of the patient in order to regain his ADL. Commonly, the femur fracture is due to the weakness of Quadriceps femoris muscle.

Keywords:

Femoral Shaft fracture, Road accidents, Little finger fracture, Intramedullary nailing, Knee Stiffness.