The functional post-op rehabilitation results in the trimalleolar ankle fracture: A one-year follow-up of the case

Yildiz, Nazım Tolgahan; Kocaman, Hikmet; Coşkun, Gürsoy; Bek, Nilgün

doi:10.23950/jcmk/11228

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…In this study, the effects of manual treatment were evaluated in patients who had ORIF, followed by extended immobilisation [ 13 ]. There have been findings that integrating balance, resistance exercise and proprioception training in rehabilitation sessions following an ankle injury might help with postural stability, coordination and proprioception [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Physiotherapy Protocol in Post-operative Case of Trimalleolar Fracture: A Case Report

Agrawal,

Thakre,

Deshpande

et al. 2023

Cureus

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A common ankle fracture that can have major consequences and expensive medical bills is the trimalleolar fracture. The trimalleolar fracture is the least frequent type of ankle fracture. The number of afflicted malleoli, the kind of fracture of the lateral and medial malleolus and the congruence of the ankle joint were all examined in detail for the trimalleolar ankle fracture. This type of fracture is brought on by high-energy trauma. In this case report, we describe a 56-year-old female patient who was involved in a road traffic accident. After being taken to the hospital for further examination, her ankle fracture was determined to be a trimalleolar one. She had an internal fixation with canulated cancellous screws and nails for open reduction. For such patients, we designed a physiotherapy course based on early rehabilitation and sensorimotor retraining to help with proprioception training, gait training and lower-limb muscular strength training. The lower limb's strength and range of motion were improved with the treatment. The outcomes used were the numerical pain rating scale (NPRS), functional independence measure (FIM), lower-extremity functional scale (LEFS), range of motion (ROM), gait parameters and manual muscle testing (MMT).

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Section: Discussionmentioning

confidence: 99%

Comprehensive Physiotherapy Protocol in Post-operative Case of Trimalleolar Fracture: A Case Report

Agrawal,

Thakre,

Deshpande

et al. 2023

Cureus

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“…With interactions at the local, central nervous system, and psychological levels, manual therapy such as joint mobilization causes an analgesic effect and increases the flexibility of joint structures [9]. According to reports, postural stability, coordination, and proprioception may all benefit from balance and proprioception training included during the rehabilitation program after an ankle injury [1]. In this case report, a patient came for physiotherapy 15 months after the fracture due to complications after an operation.…”

Section: Discussionmentioning

confidence: 99%

“…A bimalleolar fracture plus a posterior malleolar fracture make up the trimalleolar ankle fracture (TAF), a kind of complex ankle fracture. It is the least common kind and only appears in 7% of all ankle fractures [1]. High energy trauma is to blame for these fractures [2].…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy Rehabilitation Strategies for Post-operative Trimalleolar Ankle Fracture: A Case Report

Fokmare¹,

Dhage²

2022

Cureus

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The trimalleolar fracture of the ankle is the least common type of fracture among ankle fractures. This type of fracture occurs due to high-energy trauma and is seen mostly in females than males. In this case report, we present a 52-year-old female patient who met with a road accident 15 months before presentation. She was brought to the hospital for investigation and was diagnosed with a trimalleolar ankle fracture. She was managed with open reduction and internal fixation using rush nailing and canulated cancellous screws. There was pus discharge from the suture site post-operatively. Due to this, there was a delay in the weightbearing phase. Medications were given for relief. Ten months post the operation she saw pus discharge from the scar site, she was re-operated for implant removal and physiotherapy was advised. Due to fear of pain, she was not bearing weight on that limb. This prolonged non-weight-bearing phase caused muscle wasting of the right leg, and reduced ankle dorsiflexion range and strength. The patient attended physiotherapy treatment. A Mulligan's movement with mobilization was prescribed to increase the range of ankle dorsiflexion, and ultrasound was used to improve scar mobility. Strength training of lower limb muscles, proprioception training, and gait training was given to the patient. The treatment showed improvement in the range and strength of the lower limb.

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“…In another study, the quality of life increased after a 1-year follow-up of postoperative rehabilitation in a patient with a trimalleolar ankle Figure 1. Results of questionnaires fracture (24). Schaefer and Sandray reported that IASTM increased FAAM, FAAM Sport, and ROM in ankle instability patients (25).…”

Section: Faam Sf-36 Atrs and Faosmentioning

confidence: 99%

Managing Postoperative Complications in a Patient with Excessive Ankle Stiffness: A Case Study Addressing Balance, Muscle Strength, and Quality of Life

Khorramroo,

Mousavi,

Minoonejad

et al. 2024

J Motor Control Learn

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Introduction: Postoperative complications decrease muscle strength and balance. Thus, managing the complications is crucial for optimizing patient outcomes and promoting speedy recovery. This case study explores the use of Instrument-Assisted Soft Tissue Mobilization (IASTM) and electrotherapy in managing postoperative complications in a patient with excessive ankle stiffness, addressing balance and muscle strength, as they are essential components of functional mobility in patients with ankle stiffness. Case Presentation: A 41-year-old female athlete with Achilles tendon contracture participated in this study. A 12-week IASTM and electrotherapy was implemented. Isokinetic muscle strength, balance, and quality of life were investigated. Results: The results showed significant improvement in the stability index, path length and area, dorsiflexion/plantarflexion peak torque, range of motion (ROM), total work, and reduced passive stiffness. The results of all domains of quality of life (SF-36), Foot and Ankle Ability Measure (FAAM), , Achilles Tendon Rupture Score (ATRS), Visual Analog Scale (VAS), and Foot and Ankle Outcome Score (FAOS) improved. The intervention was successful in improving balance, muscle strength, sagittal plane ROM, and quality of life and reduced pain during balance in the patient. Conclusions These findings suggest that the intervention may be an effective treatment option for individuals with excessive ankle stiffness and related balance and strength deficits.

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The functional post-op rehabilitation results in the trimalleolar ankle fracture: A one-year follow-up of the case

Cited by 3 publications

References 13 publications

Comprehensive Physiotherapy Protocol in Post-operative Case of Trimalleolar Fracture: A Case Report

Comprehensive Physiotherapy Protocol in Post-operative Case of Trimalleolar Fracture: A Case Report

Physiotherapy Rehabilitation Strategies for Post-operative Trimalleolar Ankle Fracture: A Case Report

Managing Postoperative Complications in a Patient with Excessive Ankle Stiffness: A Case Study Addressing Balance, Muscle Strength, and Quality of Life

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