Physiotherapeutic Rehabilitation of a Patient With a Comminuted Displaced Iliac Fracture and Superior and Inferior Pubic Rami Fractures: A Case Report

Jaiswal, Pratik R; Lakhwani, Madhu G; Phansopkar, Pratik

doi:10.7759/cureus.28709

Cited by 1 publication

(2 citation statements)

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“…To compare how hip fractures are treated, a uniform approach emphasizing early weight bearing and mobility is necessary. In certain circumstances, such as in elite athletes and those with significantly displaced fractures, surgical intervention may be required in order to minimize healing time [ 4 ]. Foot drop occurs when the dorsiflexors of the foot are not strong enough to lift the forefoot [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…High-energy trauma frequently separates the sacroiliac joint, raising the risk of complications and fatalities in pelvic injuries. Iliac fractures, also known as high-energy pelvic fractures, usually extend from the iliac crest to the greater sciatic notch [ 4 ]. Intramedullary nailing, open reduction and internal fixation (ORIF), minimally invasive plate osteosynthesis (MIPO), and external fixation are some of the most popular surgical techniques [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Effect of Physiotherapeutic Rehabilitation on a Patient With an Iliac Fracture and Superior and Inferior Pubic Rami Fracture With Foot Drop: A Case Report

Dandale¹,

Chitale²,

Phansopkar³

2023

Cureus

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The sacroiliac joint is frequently broken apart by high-energy trauma, which increases fatalities and complications from pelvic injuries. Ilium fractures are high-energy pelvic fractures that often progress from the iliac crest to the greater sciatic notch. Concomitant head injury exsanguinations and uncontrollable bleeding within the pelvis are considered important causes of mortality. In contrast, some assume that such extensive bleeding is extremely uncommon and that accompanying injuries could result in increased mortality. A shorter healing period and faster patient mobilization are possible with surgically treated Tile's Type B and C fractures. Accident-related fractures can lead to decreased independence and functioning, restricted mobility, lowered self-confidence, and a worse quality of life; these fractures are caused by trauma, most frequently from minor falls and age-related osteopenia. By reducing discomfort, restoring range of motion and muscular strength, and assisting with early ambulation/loading of the fractured limb, early physical therapy intervention speeds up the clinical recovery of patients with fractures. When one cannot elevate the forefoot, it results in foot drop because of a lack of dorsiflexor strength in the foot. These may induce a risky antalgic gait, leading to falls-the diminished ability to lift the foot of the ankle or the toes (dorsiflexion). Injuries, including fractures, joint dislocations, or hip replacement surgery, can also result in a drop foot. The peroneal nerve, which innervates the tibialis anterior, is the muscle responsible for dorsiflexion, as it arises from the sciatic nerve's branch. Due to the foot drop, the anterior tibialis muscle will shorten and cause spasms in the calf muscle. After surgery, the patient was dependent and had difficulty going about his everyday life. However, the physiotherapy intervention improved the patient's pain and physical functionality. By lowering discomfort, restoring range of motion and muscular strength, and facilitating early ambulation/loading of the fractured limb, this study shows that combining definitive surgical methods with early physical therapy intervention speeds up the clinical recovery of patients with fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%