Physical Rehabilitation Post-surgery in a Distal Femur Fracture Post Removal of Implant

Abstract

A complicated orthopaedic injury known as a comminuted distal femur fracture occurs when the lower portion of the femur bone breaks into several pieces close to the knee joint. Distal femur fractures are more commonly caused by injuries to the supracondylar and intercondylar regions. Managing comminuted distal femur fractures is a significant clinical challenge. The age of the patient, the condition of the bone, any concomitant injuries, and the level of comminution all influence the treatment plan. Handling distal femur fractures that have comminuted presents a major clinical challenge. One of the possible treatment options may be surgical intervention using techniques such as open reduction and internal fixation (ORIF), total knee arthroplasty (TKA), or external fixation. In this article, we describe a 32-year-old man whose primary complaints were pain, the inability to bear weight on the afflicted side, and a comminuted distal femur fracture. He was operated with ORIF. After the removal of the implant, restoring a typical range of motion (ROM) and relieving discomfort were the main objectives of physical therapy. Physical rehabilitation following implant removal aims to optimize functional outcomes, restore joint mobility, and enhance muscular strength. This process involves a multidisciplinary approach, integrating the expertise of orthopaedic surgeons, physiotherapists, and rehabilitation specialists. Emphasis was placed on early mobilization, proprioceptive training, and tailored exercise regimens to address specific deficits related to the previous implant presence. The patient's recovery was aided by the physiotherapy routines.