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PNA RESEARCH CASE LIBRARYOrthopaedic Rehabilitation · 2024

The Effectiveness of Physiotherapy Rehabilitation in an Adult With Multiple Joint Fractures - A Case Report

Anjali V. Nawkhare, Mitushi Deshmukh, Sakshi Padmawar

Cureus · 2024 · DOI: 10.7759/cureus.63654

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THE CASE IN PLAIN ENGLISH

What happened?

A 35-year-old man sustained fractures involving several joints after a road traffic accident and underwent surgical fixation. Rehabilitation had to address multiple regions and competing functional demands.

Clinical findings

  • Fractures involved the proximal tibia, ankle region, metacarpals and proximal phalanges.
  • Post-operative limitations affected range of motion, strength, mobility and independence.
  • The plan needed to be individualized to the sites of injury and surgical restrictions.

Rehabilitation described in the report

  • An 8–12 week rehabilitation course included passive and active range-of-motion work, isometrics, progressive resistance exercise and gait training.
  • Progression depended on the injury pattern and post-operative status.

Reported outcomes

  • The authors reported improvements in pain, range of motion, muscle strength and general function between pre- and post-rehabilitation assessments.

Clinical lessons to consider

  • With multiple injuries, plan by region but coordinate toward whole-person function.
  • Respect fixation stability and weight-bearing instructions before progressing loading.
  • Track mobility, strength and daily function over time.

Limitations — what this case cannot tell us

  • Single case; details and outcomes cannot establish a standard protocol for all fracture combinations.
  • The original paper should be checked for exact outcome values and restrictions.

Original source

Anjali V. Nawkhare, Mitushi Deshmukh, Sakshi Padmawar. “The Effectiveness of Physiotherapy Rehabilitation in an Adult With Multiple Joint Fractures - A Case Report.” Cureus, 2024. DOI: 10.7759/cureus.63654

View the original publication

This page is an independently written educational summary, not a reproduction of the full paper. Check the original article for complete methods, outcome tables, references and licensing.