Karekar Hrutuja J, Akhuj Aditi, Ramteke Swapnil U
Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Dec 30;15(12):e51358. doi: 10.7759/cureus.51358. eCollection 2023 Dec.
A complicated orthopaedic injury known as a comminuted distal femur fracture occurs when the lower portion of the femur bone breaks into several pieces close to the knee joint. Distal femur fractures are more commonly caused by injuries to the supracondylar and intercondylar regions. Managing comminuted distal femur fractures is a significant clinical challenge. The age of the patient, the condition of the bone, any concomitant injuries, and the level of comminution all influence the treatment plan. Handling distal femur fractures that have comminuted presents a major clinical challenge. One of the possible treatment options may be surgical intervention using techniques such as open reduction and internal fixation (ORIF), total knee arthroplasty (TKA), or external fixation. In this article, we describe a 32-year-old man whose primary complaints were pain, the inability to bear weight on the afflicted side, and a comminuted distal femur fracture. He was operated with ORIF. After the removal of the implant, restoring a typical range of motion (ROM) and relieving discomfort were the main objectives of physical therapy. Physical rehabilitation following implant removal aims to optimize functional outcomes, restore joint mobility, and enhance muscular strength. This process involves a multidisciplinary approach, integrating the expertise of orthopaedic surgeons, physiotherapists, and rehabilitation specialists. Emphasis was placed on early mobilization, proprioceptive training, and tailored exercise regimens to address specific deficits related to the previous implant presence. The patient's recovery was aided by the physiotherapy routines.
一种复杂的骨科损伤，即股骨远端粉碎性骨折，发生在股骨靠近膝关节的下部断裂成几块时。股骨远端骨折更常见的原因是髁上和髁间区域受伤。处理股骨远端粉碎性骨折是一项重大的临床挑战。患者的年龄、骨骼状况、任何伴随的损伤以及粉碎程度都会影响治疗方案。处理已粉碎的股骨远端骨折是一项重大的临床挑战。可能的治疗选择之一可能是采用诸如切开复位内固定术（ORIF）、全膝关节置换术（TKA）或外固定等技术进行手术干预。在本文中，我们描述了一名32岁男性，其主要症状为疼痛、患侧无法负重以及股骨远端粉碎性骨折。他接受了切开复位内固定术。取出植入物后，恢复典型的活动范围（ROM）和缓解疼痛是物理治疗的主要目标。取出植入物后的物理康复旨在优化功能结果、恢复关节活动度并增强肌肉力量。这个过程需要多学科方法，整合骨科医生、物理治疗师和康复专家的专业知识。重点是早期活动、本体感觉训练以及针对与先前植入物存在相关的特定缺陷制定的个性化锻炼方案。物理治疗程序有助于患者康复。
