KINESITHERAPY IN THE EARLY POSTOPERATIVE PERIOD IN CLOSED FRACTURE OF THE FEMUR DIAPHYSICAL BONE

Abstract

Fractures in the diaphysis of the femur occur more frequently in young and middle aged men, as well as in children. Treatment may vary depending on the type and degree of dislocation, as well as the age of the patient. The most commonly used treatment is surgical, using a metal osteosynthesizer with a Kuncher nail or plate, which allows the patient to stand with aids a few days after surgery.
The purpose of the described clinical case is to present the effect of the applied kinesitherapy methodology in the case of fracture of the diaphysis of the femur of the left lower limb with immobilization by metal osteosynthesis in a 68 year old patient.
The purpose of the applied kinesitherapy is to restore the supporting function of the lower limb. The tasks of kinesitherapy are reduced to improving trophics, overcoming muscle imbalance, maintaining the volume of movement in the left hip joint. Means of kinesitherapy include, relaxing exercises and techniques, cryotherapy, passive exercises to maintain the volume of movement in the joints, placing the limb in a drainage position, muscle pump for distal joints, breathing exercises, active exercises for healthy parts, isometric contractions for the thigh muscles, active passive exercises for the affected limb and resistance exercises for healthy parts.
At the end of the course, an improvement in muscle strength and endurance of the left lower limb was noted. The patient was given advice on continuing rehabilitation and guidelines regarding the avoidance of resistance exercises and weight bearing on the affected limb, as well as stretching of the motor muscles in the affected joints in order to achieve full recovery of muscle strength and mobility of the limb.