Rehabilitation of a 55-year-old Man’s Inter Trochanteric Fracture: A Case Report
Shivani Uttamchandani
Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, India.
Neha Chitlange
Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, 442001, Maharashtra, India.
Mithushi Deshmukh *
Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha 442001, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Background: The most common fractures seen in senior osteoporotic patients are intertrochanteric (IT) fractures, which are usually caused by a simple fall in the house. The number of old patients is expected to double by 2040 due to an increase in the number of elderly patients with osteoporosis. Understanding key aspects of IT fracture, therapy such as stability, reduction, and the involvement of posterior medial and lateral walls, will aid in implant selection for a better outcome.This fracture interferes with the normal functioning of the body in day-to-day life. Therefore, physiotherapy rehabilitation after surgery is essential to get back to normal functioning.
Case Presentation: A 55- year-old male patient who came with complaints of pain and swelling in right hip, unable to walk. Patient was under the influence of alcohol when he fell from the bed. He experienced sudden and severe pain in right hip and was unable to stand. His relatives brought him to Acharya Vinobha Bhave Rural Hospital (AVBRH), Sawangi, Wardha, Maharashtra for further management. Dynamic Hip Screw was applied for the fixation of Intertrochanteric Fracture. Further on rehabilitation was started, which aimed to restore mobility, regain full range of motion and develop muscle strength.
Conclusion: The Intertrochanteric fracture of femur is a form of fracture with a high occurrence. The above case presentation concludes that a traditional surgical procedure combined with timely planned physiotherapy rehabilitation contributed to progressive improvement in functional goals, which is an important factor in achieving a good recovery in such post-operative cases.
Keywords: Intertrochanteric fracture, Dynamic Hip Screw (DHS), physical therapy