How to exercise with a patellar fracture?

Written by Lv Yao
Orthopedics
Updated on September 13, 2024
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After a patella fracture, it is necessary to fix and immobilize the patella for some time. During the immobilization, knee joint stiffness may occur, affecting the flexion and extension movements of the knee. Therefore, while treating a patella fracture, it is also important to guide the patient in functional exercises. For example, during the early stages of immobilization, the patient can actively contract the quadriceps femoris and the triceps surae to prevent thrombosis. This muscle exercise can also help avoid muscle atrophy. Additionally, patients can be instructed to dorsally extend the ankle joint to strengthen the ankle pump training and avoid ankle stiffness. Once the fracture is stabilized, the patient can sit beside the bed and let the knee bend naturally. When close to the bed, the knee can bend up to ninety degrees. If natural bending is difficult, the healthy limb can be used to push the injured limb closer to the bed, allowing the knee to bend to ninety degrees. After reaching ninety degrees, it might be appropriate to use crutches for walking activities. If bending beyond ninety degrees is necessary, the patient should lie flat on the bed, hug the thigh of the injured limb with both hands, flex the hip joint, and then allow the knee joint to bend through gravity beyond ninety degrees, approaching the normal range.

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Written by Zhang Ying Peng
Orthopedics
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How long to stay in bed with a rib fracture?

Rib fractures are very common clinically. After a rib fracture, it is necessary to rest in bed, immobilize, and reduce activity, otherwise excessive pulling of the ribs will cause pain. Generally, the bed rest period is about 10-14 days. Generally, after two weeks of treatment, the ribs will form fibrous connections and no longer cause severe pain. After two weeks, appropriate activity out of bed can be resumed. At the same time, oral antibiotics can be taken to prevent infection, as well as medications that promote blood circulation and remove blood stasis to enhance the absorption of the hematoma.

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Written by Li Jie
Orthopedics
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Can you move with a fracture?

Regarding the question of whether fracture patients can move, we need to look at it from two aspects. We say that fracture patients can move and yet cannot move. Why do we say that fracture patients cannot move? Because after a fracture, we need effective reduction and fixation. After the fixation, the fractured area should not be vigorously moved, as the growth of the bone requires a stable environment. Therefore, we say that the fractured area should not move. However, we advocate movement for fractures. Why advocate movement? We can encourage performing activities with other parts of the body, and the distal part of the fractured limb can perform isometric muscle contractions and joint movements. Appropriate exercises are beneficial for reducing swelling locally, but the fractured area itself should be immobilized.

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Written by Lv Yao
Orthopedics
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How to care for a patellar fracture

A patellar fracture occurs, the first step is to immobilize the patellofemoral joint. During treatment, the primary goal is to prevent the formation of lower limb thrombosis. Therefore, early on, patients can be actively guided to contract the quadriceps and calf triceps muscles, while also performing dorsiflexion and flexion exercises of the ankle joint to avoid ankle stiffness. As the condition stabilizes, a cushion can be placed under the knee joint to allow for active flexion of the knee. If the fracture has stabilized, the patient can sit at the edge of the bed and let the knee naturally flex downward. If there is difficulty, the healthy limb can be used to help push and squeeze the injured limb to achieve a flexion close to ninety degrees. Patients can also lie in bed, hug their thighs with both hands, and flex the knee joint beyond ninety degrees to enhance this type of knee exercise.

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Written by Li Jie
Orthopedics
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Can I take calcium tablets for a fracture?

After a fracture, there are generally several stages a person will go through. These can typically be divided into the following stages: hematoma organization stage, fibrous connection stage, initial callus stage, mature callus stage, and then the remodeling stage. During these periods, the area of the bone is undergoing a metabolic process involving both osteoclasts and osteoblasts. During this metabolic process, calcium is required, and a deficiency in calcium can affect the healing of the fracture. Therefore, it is advised that patients with fractures should take calcium supplements. Along with calcium, it is also recommended to supplement with vitamin D, which can enhance bone absorption and calcium absorption, aiding in the healing of fractures. Thus, the conclusion is that fracture patients can indeed take calcium tablets.

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Written by Li Jie
Orthopedics
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Does a fracture hurt?

A fracture is an interruption in the continuity of a bone. After a fracture, there is significant bleeding at the site, along with bruising of the soft tissues nearby, including bleeding from blood vessels and bruising of muscles and tendons. Because these soft tissues are rich in nerves, the pain at the site of the fracture can be very severe. Pain is a primary symptom for patients with fractures. Other symptoms may include swelling, limitation of joint movement, potential deformities, and changes in the local shape. Pain, deformity, and limited function are the three common signs seen in patients with fractures.