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Early Moblization and Cocontraction Exercises in Multiple Communited Bl-Lowerlimb Fractures (Case Report)

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  • Dr. Atul Kale

    (Department of Musculoskeletal Physiotherapy, Niharika College of Physiotherapy, India)

  • Dr. Pankaj Raghute

    (Department of Musculoskeletal Physiotherapy, Niharika College of Physiotherapy, India)

  • Dr. Amol Shinde

    (Department of Musculoskeletal Physiotherapy, Niharika College of Physiotherapy, India)

  • Dr. Kushal Toshniwal

    (Department of Musculoskeletal Physiotherapy, Niharika College of Physiotherapy, India)

  • Dr. Neha Deshmukh

    (Department of Musculoskeletal Physiotherapy, Niharika College of Physiotherapy, India)

  • Dr. Dipesh Sadhawani

    (Department of Musculoskeletal Physiotherapy, Niharika College of Physiotherapy, India)

Abstract

Multiple non displaced lower limb fractures of bilateral tibia and fibula are often more complex and involve a disturbance in locomotor function for the individual. Involvement of articulating surface in such fracture requires skill hand, suitable implants for maximal functional outcome. When the fracture is displaced, unfavourable outcomes can occur and lead to early osteoarthritis of the knee. Additionally, knee pain and stiffness due to immobilization or surgical reduction and stabilization can limit one’s overall lower limb functions specifically related to weight-bearing. Rehabilitation following such a fracture is complex & challenging. Early mobilization on the bed with closed kinematic exercises can lead to a better prognosis. Therefore, this case report aims to present the evaluation and rehabilitation of a 47-year-old female following a comminuted fracture of bilateral tibia and fibula, which is surgically managed with intramedullary nailing, plating, and screw femur. The rehabilitation over a 9 months course was done and the benefits of early mobility in the rehabilitation were emphasized.

Suggested Citation

  • Dr. Atul Kale & Dr. Pankaj Raghute & Dr. Amol Shinde & Dr. Kushal Toshniwal & Dr. Neha Deshmukh & Dr. Dipesh Sadhawani, 2025. "Early Moblization and Cocontraction Exercises in Multiple Communited Bl-Lowerlimb Fractures (Case Report)," International Journal of Research and Innovation in Applied Science, International Journal of Research and Innovation in Applied Science (IJRIAS), vol. 10(8), pages 138-145, August.
    • Handle: RePEc:bjf:journl:v:10:y:2025:i:8:p:138-145
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