Advanced Physiotherapy of Supracondylar Femur Fracture with Implant In situ: A Case Report

Abstract

Patient main concerns were restriction of movements of right knee and pus discharge from wound over right knee. In this case, the main clinical findings were a substantial loss in range of motion at right knee joints. There was also fixed flexion deformity seen over right knee. Diagnosis of the case was non united operated infected case of supracondylar femur fracture right side with implant in situ. In these types of circumstances, therapeutic approaches have been demonstrated to be useful. A 35-year-old male visited the orthopaedics who referred department of physiotherapy with complaints of restriction of movement of right knee and pus discharge from wound over right knee. Patient was examine in standing and supine position .On inspection, patient keeps right hip in flexion, knee in flexion patella pointing upwards and foot in equinus. According to the research, starting weight-bearing too soon can lead to failure of implant and mal-union. Supracondylar femoral fracture is a challenging condition to deal with and is associated with many secondary complications. An important role is played by physiotherapist in rehabilitation and supracondylar femur fracture management.

Comprehensive rehabilitation after supracondylar comminuted femur fracture managed with ORIF plate in osteosynthesis: A case report

“…An inter condylar zone connects the condyles to the articular surfaces and a supracondylar region connects the Meta diaphyseal junction to the condyles in the distal femur (Kochar et al, 2021). Supracondylar femur fractures are difficult to treat (Somaiya et al, 2022).…”

Rehabilitation for femoral retroversion an uncommon phenomenon post supracondylar femur fracture - A case report

“…These fractures often occur in two distinct groups and are caused by two distinct modes of injury. First, in young adults following high-energy trauma (60 percent males under 40 years; accidents and sports injuries), and second, in the senior population following low-energy trauma (60 percent females, older than 60 years; falls sprains etc.,) (Gill et al, 2017) with a prevalence rate of about 0.4 percent (Kochar et al, 2021). The authors describe the treatment of supracondylar femur fractures with ORIF using indirect reduction techniques (Bolhofner et al, 1996) Authors' Affiliation: 1 Intern, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India; Email: kamyasomaiya99@gmail.com, Orcid: https://orcid.org/0000-0002-7755-9385 2 Associate Professor and HOD, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India; Email: drpratik77@gmail.com, Orcid: http://orcid.org/0000-0003-3635-8840 3 Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India; Email: nchitale143@gmail.com which ORIF with femur interlock nail and Dynamic Compression Plate was considered to be the most usual method.…”