Case Study ? Post Operative Rehabilitation of Fracture of Distal End of Radius

Introduction Fracture of the distal end radius constitutes one of the most common skeletal injuries treated by the orthopedic surgeon. Wide arrays of techniques have been described including closed reduction, percutaneous fixation and open methods of reduction, and stabilization. Open reduction and internal fixation of distal radial fractures with an angular stable locking plate applied to the volar surface has gained vast popularity recently Methodology This case study was conducted on Mr D. S. Dahiya during the first week of November 2016 to last week of february 2016 in total 4months. The patient came to me with a post operative closed fracture distal end of radius the process of the therapy started with initial kinesiological examination followed by 4 months long therapy session and a final kinesiological examination. Therapy Process The patient got a treatment with passive interventions to improve circulation and prevent immobilization adhesion formation. These treatments included application of an ice pack to reduce edema followed by application of a wax bath on the affected wrist. Gentle range of motion mobilizations were then introduced that could only be performed in flexion and extension to the patient's pain tolerance. Final Kinesiological Examination Conclusion Daily wrist and hand ROM was measured prior and post treatment. The final kinesiological was performed on 28th Feb 2017 and showed the patient's improvement to the therapy applied. The patient came for physiotherapy for lack of muscular strength and limited mobility in the affected area. The final examination shows patients improvement in muscular strength, mobility and muscle shortness after 4 months of therapy Conclusion During the 4 months of Physiotherapy sessions, we had with the patient, we both could see the improvement from day 1 until our last session together. He improved greatly during the course of 4months the rapid improvement came after functional training with mobilizations and Sustained Stretching of wrist flexors with the pillow underneath