Documented Physiotherapeutic Approach in Post Corrective Osteotomy Procedure for Gunstock Deformity Caused by Old Supracondylar Fracture Malunion

Abstract

Background: Physiotherapeutic intervention in a phasic manner has been in practice after orthopedic surgeries .graded physiotherapy has a great value in reducing post surgical inflammation pain and improving mobility .this work is done towards presenting the data regarding post surgical condition of corrective osteotomy for cubital varus on left side [7] the treatment techniques were choosen on the basis of phasic evaluation and post treatment evaluation was done in order to check the prognosis in terms of inflammation [8] , pain and ROM .several exercise therapeutic techniques and electro therapeutic techniques have been selected periodically on a basis of pre-treatment assessment. In this data presentation electro therapeutic techniques like,faradism under tension [1] for correction of deformity, TENS,ULTRA SOUND [23] , PARAFFIN WAX BATH (pain relief and extensibility)where the treatment modalities selected.Method : Treatment techniques were selected based on the evaluation in every particular session. . faradism under tension [1] ,Paraffin wax bath, TENS [23] ,muscle energy techniques [17] , cyriax deep friction massage [2] and ultrasound therapy [23] modalities were used selectively.Results : Faradism under tension ,Paraffin wax bath, TENS ,muscle energy techniques, cyriax deep friction massage and ultrasound therapy modalities were used selectively with range of movement exercise in four phases and evaluation was done in every session. each phase was of 3 days at the end of 12 days re evaluation was done and found that there was a marked decrease in pain, inflammation [9] and increased range of motion. Conclusion: after the selective physiotherapy approaches there was reduction of pain,oedema and range of motion was improved. graded physiotherapeutic intervention is important to most of the orthopedic post operative conditions in reducing pain, decreasing inflammation, increasing mobility [4] .