Nawkhare Anjali V, Deshmukh Mitushi, Padmawar Sakshi
Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute Of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 2;16(7):e63654. doi: 10.7759/cureus.63654. eCollection 2024 Jul.
This case report details the rehabilitation procedure for a 35-year-old man involved in a vehicle accident that resulted in multiple joint fractures. The patient had fractures to the proximal tibia, left bimalleolar, posterior malleolus, fourth and fifth metacarpal heads, and second and third proximal phalanges. After open reduction and internal fixation surgery, an 8-12 week physical treatment regimen was put into place. Exercises for both passive and active range of motion, isometric and progressive resistance training, and gait training were provided. The rehabilitation goals were pain relief, increased range of motion, muscle strength, flexibility, endurance, and functional independence. Pain levels, range of motion, muscle strength, and general function all significantly improved between pre- and post-rehabilitation evaluations. Early mobilization and structured physical therapy were crucial in achieving these outcomes, highlighting the importance of tailored rehabilitation protocols for post-operative recovery.
本病例报告详细介绍了一名35岁男性因车祸导致多处关节骨折后的康复过程。患者的胫骨近端、左双踝、后踝、第四和第五掌骨头以及第二和第三近端指骨均发生骨折。在进行切开复位内固定手术后，实施了为期8至12周的物理治疗方案。提供了被动和主动活动范围练习、等长和渐进性抗阻训练以及步态训练。康复目标是缓解疼痛、增加活动范围、增强肌肉力量、提高灵活性、耐力以及实现功能独立。康复前后评估之间，疼痛程度、活动范围、肌肉力量和总体功能均有显著改善。早期活动和结构化物理治疗对于实现这些结果至关重要，凸显了针对术后恢复制定个性化康复方案的重要性。
