Fysioterapeuten (Apr 2009)
Physiotherapy for Fracture of the Tibia Fastened with Nail: a Case Report
Abstract
Background and aim: Most tibia fractures are fasten with intramedullary bone nail, but studies show over half of the patients to have anterior knee pain over 2 years after surgery. Because non has examined the effect of physical therapy after the procedure, we explored different treatments in private practice for two patients. Case descriptions: The woman was 29 years old and out bicycling when she got hit by a car so that the left tibia fractured. She wanted to be able to bicycle and walk again. The man was 46 years old and got kicked so his left tibia fractured. He wanted to be able to climb mountains, do Nordic Walking, jog and strength exercise. Treatment: Was in 5 phases with main aims: 1.phase (0-2 weeks ) adjust walking with crutches; 2.phase (2-6 w.) reduce pain and normalize range of motion; 3.phase (6-12 w.) normalize waling without crutches and balance; 4.phase (12-24 w.) increase endurance strength; 5.phase (24-52 w.) increase muscle strength. Process and result: The aims of the phases were mostly fulfilled and non of the patients had pain during rest or during their normal activities one year after injury. Conclusion: It might seem as the remedial actions of increasing strength of quadriceps and range of motion in ankle dorsal flexion was important for the result.
