2/7/2019 Tibia fibula fracture rehabilitation protocol.

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Tibia fibula
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FOLLOW US fracture of the leg
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PhysioExercise Video of the patient is

26 likes
when will they
resume walking.
For this, they have
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to follow proper
tibia fibula fracture
rehabilitation
protocol.

In this article, we
are going to learn
about each step of
the physiotherapy
a er fracture tibia
fibula. But, we
suggest you to
perform these
exercises/ protocol
under the
supervision of a
qualified
physiotherapist.

If you are the

person who had
this unfortunate
fracture or if you
are a rehabilitation
professional, you
will benefit
with this article.

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We have covered Quick question: What is missing on this

page?
the rehabilitation
protocol for each Please type here...

day starting from

day one when the
fractured leg is
operated to the
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final day when a
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2/7/2019 Tibia fibula fracture rehabilitation protocol. : Physiosunit

person
starts walking.

At the end of the

article, you will
find a link to
download a full
tibial sha fracture
rehabilitation
protocol in a pdf
format. If you wish
you can
download it and
keep handy for
your future
reference.

So, lets get start.

Tibial
sha
fracture
rehabilita
tion
protocol
Before reaching
the point of
walking we have to
ensure that all the
component of
walking is intact.
And this is the
main motive of
protocol. Quick question: What is missing on this
page?

These include the Please type here...

flexibility of lower
limb joints, like the
hip joint, knee
joint, and ankle
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joint. Ensuring the
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2/7/2019 Tibia fibula fracture rehabilitation protocol. : Physiosunit

su icient strength
anti-gravity
muscles and most
important is
weight bearing
capability on
the a ected limb.

Let us discuss it
with a case of mid-
sha tibia-fibula
fracture with an
oblique fracture.
Oblique fracture
means fracture of
the lower leg on
the middle of the
lower leg.
Whatever may be
the cause of
fracture one has to
go through the
surgery.

The surgical
process involves
open reduction
internal fixation
(ORIF) with inter-
medullary rod and
screw.

A er the surgery,
the operated limb
is immobilised for
a month and a
half.
Immobilisation
Quick question: What is missing on this
means to make the page?
operated limb not
Please type here...
move. The
purpose is to allow
the surgical
process takes its
own time to heal Not using Hotjar yet? Send

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2/7/2019 Tibia fibula fracture rehabilitation protocol. : Physiosunit

without any
disturbance.

The process of
immobilisation
di ers from doctor
to doctor but the
most common way
to do it is by
applying a plaster
cast.

And, It is during
this long-term
immobilization
period due to lack
of proper care,
most of the
secondary
complications
develops.

Potential
complicati
ons a er
tibial
fracture
surgery
Disuse
atrophy-
Decrease in
muscle bulk
due to long-
term rest.
Muscle
Quick question: What is missing on this
weakness page?

Muscle Please type here...

contracture-
Long-term
immobility
causes muscle
contracture Not using Hotjar yet? Send

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2/7/2019 Tibia fibula fracture rehabilitation protocol. : Physiosunit

Joint sti ness-

Muscle
contracture in
turn leads to
joint sti ness
Odema.

We can prevent
such kind of
secondary
complication by
starting
a calculated
movement and
physiotherapy at
the right
time. Physiotherapy
intervention
prevents such
complications by
maintaining
muscular& joint
flexibility and
blood circulation.

The postoperative
physiotherapy is
started from the
very next day of
the surgery when
the patient is
immobilised and is
still on the bed.

Phase-I:
Maximu
m Quick question: What is missing on this
page?

protectio Please type here...

n phase.
This phase comes
immediately a er Not using Hotjar yet? Send

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the surgery and leg

immobilisation is
the main process
here.

During this phase,

the most
important concern
is pain and
swelling. To
prevent this the leg
is kept elevated
and toe movement
is done in the
elevated position.

We have to be
careful while
selecting exercises
during this period,
the exercises
should be static in
nature with
minimal or no
movement at the
surgical spot.

These exercises I
would recommend
is static quadriceps
exercise (knee
press) and ankle
plantar flexion and
dorsiflexion.(foot
movement).

Knee press
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page?

Please type here...

Phase-II:
Range of
motion Not using Hotjar yet? Send

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and
early
strength
ening
By this period
surgical pain
would have
subsided. here we
have to begin
exercises to
improve joint
range of motion
and focus on
strengthening of
all the muscle of
lower limb.

Knee bending

Hip abduction

Phase-
III:
Progress
ive
strength Quick question: What is missing on this

ening. page?

Please type here...

Start partial
weight-bearing
exercise using
crutches. Observe
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the gait pattern
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2/7/2019 Tibia fibula fracture rehabilitation protocol. : Physiosunit

and teach correct

gait pattern.

Phase-
IV:
Advance
d
strength
ening
During this phase
we need to start
full weight bearing.

Take weight on a ected

leg

Guide
forPost-
Operative
Tibia
Fracture.
This article is an Quick question: What is missing on this
excerpt from this page?

small ebook. Please type here...

This ebook
contains many
other exercises (in
addition to what is
Not using Hotjar yet? Send
explained
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2/7/2019 Tibia fibula fracture rehabilitation protocol. : Physiosunit

here)which is
guide you through
the journey of
recovery from the
leg fracture. Think
of this ebook as
your personal
physiotherapist
keeping an eye
over each step of
your journey.

Moreover, It is
authored by me
(Dr Sunit,
Physiotherapist).
All the exercises
are described with
the beautiful
illustration which
is very simple to
understand.

Yes, Download it
Now

Final
word: Quick question: What is missing on this
page?
A er the surgery,
Please type here...
the person goes
through
psychologicalstress.
Your
physiotherapist Not using Hotjar yet? Send

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2/7/2019 Tibia fibula fracture rehabilitation protocol. : Physiosunit

has many roles not

only to come out
of
physicaldisability
but also motivate
you in each and
every step of
rehabilitation.Rehabilitation
should emphasize
the return to the
functional abilities.

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2 RESPONSES

 Comments 2

 Pingbacks 0

RK
 October 16, 2017 at 1:37 pm

Very useful but why money

for download.

Rowland John
 September 8, 2016 at 11:42
pm

Hello friend. The problem is

you mention in this article is
well worth a look. Very
helpful article. Like
John

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