How to exercise with a patellar fracture?

Written by Lv Yao
Orthopedics
Updated on September 09, 2024
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After a patellar fracture occurs, through immobilization or surgical treatment, it's possible to actively contract the quadriceps early on to strengthen muscle exercise and avoid muscle atrophy. Ankle pump exercises can also be performed, which are beneficial for the contraction of the calf muscles in the lower limbs, can help prevent thrombosis, and aid in the recovery of function. After the removal of external fixation or once the wound has healed, one can actively flex the knee joint. For example, by sitting at the edge of the bed with the knee naturally hanging, the knee joint can be flexed to 90 degrees. If there is difficulty in bending, one can push the healthy limb backward against the injured limb to help bend the knee joint. For exercises exceeding 90 degrees, one can lie flat on the bed, then flex the hip joint while holding the thigh of the injured limb with both hands, and allow the knee joint to naturally bend through gravity. This exercise can help restore the flexion and extension functions of the knee joint.

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Written by Lv Yao
Orthopedics
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Symptoms of patellar fracture

Patella fractures often occur due to direct trauma, such as a sudden fall that can result in a fracture of the patella, and symptoms include localized pain, swelling, and limited flexion and extension of the knee joint. If the patella fracture is widely separated, the presence of a hollow state anterior to the patella can be used to diagnose the fracture. The treatment of a patella fracture should be chosen based on a comprehensive analysis of the displacement of the fracture and the displacement of the joint surface.

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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 Wang Cheng Lin
Orthopedics
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How is a fracture treated?

For the treatment of fractures, we first need to determine the type of fracture. First, whether the alignment of the fracture is appropriate, and whether there is any obvious displacement; second, whether it is a comminuted fracture; third, whether the fracture ends have affected the joint surface. If the alignment of the fracture is very good, doesn’t involve the joint surface, and is not comminuted, then conservative treatment, such as plastering or splinting, can lead to a full recovery. If the fracture is comminuted, comes with obvious misalignment, and also involves the joint surface, then surgical treatment should be considered. Conservative treatment under these circumstances might result in certain disabilities, thus surgery is recommended.

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Written by Lv Yao
Orthopedics
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Post-fracture sequelae

After a fracture, the potential sequelae depend on the location of the fracture and the chosen treatment method. For example, fractures involving joint surfaces can lead to traumatic arthritis after treatment. Similarly, femur fractures can lead to the formation of lower limb thrombosis after surgery and the fracture itself. Some fractures near joints might also affect the range of joint motion after treatment. Therefore, the type of sequelae after treating a fracture depends on both the location of the fracture and the treatment approach chosen.

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Written by Lv Yao
Orthopedics
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How to rest with a rib fracture

Rib fractures are generally caused by trauma. A rib fracture can lead to localized pain and symptoms such as restricted breathing and movement. After a rib fracture, it is necessary to choose the appropriate treatment method based on the degree of displacement of the fracture, the number of ribs fractured, and whether there is associated hemothorax or pleural effusion. Treatment options may include rest, wearing a chest brace, and using antibacterial drugs to treat symptoms and prevent infections in the chest or lungs. Additionally, in daily life, excessive bending and flexing activities should be avoided to prevent further injury to the ribs. It is recommended to primarily lie flat. If breathing difficulties occur, it is advised to seek medical treatment at a formal hospital's orthopedics department. (Medication should be used under the guidance of a doctor.)