Volume 26, Issue 125, July 2022

Descriptive case report on the postoperative rehabilitation of roof and posterior column acetabular fracture following accidental event

Nikita kaple¹, Madhu Lakhwani², Medhavi Jagzape³, Pratik Phansopkar^4♦

¹Intern, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences Wardha, Maharashtra, India
²Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences Wardha, Maharashtra, India
³Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences Wardha, Maharashtra, India
⁴Associate Professor, Head Of Department, Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha, Maharashtra, India

^♦Corresponding author
Associate Professor, Head of Department, Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha, Maharashtra, India

ABSTRACT

Introduction: Fractures of acetabulum are among the most difficult injuries for orthopaedic surgeons to treat dealing with trauma. The most common injuries are RTA and falls from great height causes of acetabular fractures. These fractures that occur are prone to failure of joint and may be better treated with methods such as ORIF. In terms of patient and fracture characteristics, fractures of acetabulum in the elder population are characterized by a significant grade of diversity. Thus, the analysis focuses to show the effect of a unique surgical method for the therapy of break in the continuity of acetabulum in the posterior wall. Case description: A 55-year male visited to the department of emergency after RTA due to collision with an auto rickshaw. X-rays findings showed posterior wall of right fracture of acetabulum. His treatment was done by ORIF and plate osteosynthesis for acetabulum fracture. Diagnosis, Therapeutic Intervention and outcomes: Patient was diagnosed with the Roof and posterior column of right acetabulum fracture without neurovascular deficit. Therapeutic intervention for the patient comprised of education to him, range of motion exercises, strength building exercise. Final outcome of all the treatment showed functional recovery. Conclusion: This study suggests that surgical intervention along with physiotherapy help to increase the ROM, strength of the muscle, and activities of daily living over time leading to more restoration of effectiveness.

Keywords: Acetabuluar fracture, pelvis, Open reduction, internal fixation, hip joint

Medical Science, 2022, 26, ms320e2256

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DOI: https://doi.org/10.54905/disssi/v26i122/ms320e2256

Published: 29 July 2022