Mohani Mahek, Sharath H V, Varma Tanvi
Department of Paediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.
Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.
Cureus. 2024 Feb 29;16(2):e55217. doi: 10.7759/cureus.55217. eCollection 2024 Feb.
The posterior cruciate ligament (PCL), one of the key ligaments in the knee, serves to prevent backward movement of the tibia relative to the femur. A simultaneous occurrence of a PCL avulsion fracture and a femur shaft fracture in a pediatric patient suggests a complex orthopedic injury resulting from significant trauma to the knee and thigh area. This study describes the rehabilitation process of a 12-year-old female involved in a road traffic accident, who suffered both a midshaft femur fracture and a PCL avulsion fracture. Following surgical procedures, the patient underwent a comprehensive physiotherapy regimen utilizing X-Sens inertial sensor technology. The rehabilitation plan comprised multiple stages targeting pain alleviation, muscle strengthening, flexibility exercises, gait retraining, and balance improvement. Various interventions including contrast baths, cryotherapy, patellar mobilization, isotonic and resistance exercises, and progressive gait training were integrated across different phases of the rehabilitation program. Over subsequent follow-up periods, the patient demonstrated significant enhancements in pain management, range of motion, muscle strength, functional capabilities, and gait metrics. This case report underscores the efficacy of a systematic physiotherapy strategy incorporating advanced technology in the successful recovery from intricate lower limb fractures, underscoring the importance of prompt intervention and multidisciplinary collaboration for optimal patient outcomes.
后交叉韧带(PCL)是膝关节的关键韧带之一,其作用是防止胫骨相对于股骨向后移动。小儿患者同时发生PCL撕脱骨折和股骨干骨折提示膝关节和大腿区域受到严重创伤导致的复杂骨科损伤。本研究描述了一名12岁女性道路交通事故患者的康复过程,该患者同时遭受股骨干中段骨折和PCL撕脱骨折。手术后,患者接受了采用X-Sens惯性传感器技术的综合物理治疗方案。康复计划包括多个阶段,目标是缓解疼痛、增强肌肉力量、进行灵活性锻炼、重新训练步态以及改善平衡。康复计划的不同阶段整合了各种干预措施,包括冷热交替浴、冷冻疗法、髌骨松动术、等张和抗阻运动以及渐进性步态训练。在随后的随访期间,患者在疼痛管理、活动范围、肌肉力量、功能能力和步态指标方面均有显著改善。本病例报告强调了在从复杂的下肢骨折成功康复过程中,采用先进技术的系统物理治疗策略的有效性,强调了及时干预和多学科协作对实现最佳患者预后的重要性。