Concluded Case

Fracture neck of femur

74yrs M Non diabetic Bathroom slip Surgery done on 14 may 20 (X-Ray attached) x-ray repeated on 26 jun 20 (attached) Little pain . Opinion please Rehabilitation??

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Concluded answer

Thank you sir for the post @Pankaj Singhal Sir *Healing process is good and part is stable. * partial weight bearing with Walker * Start cross training of knee, ankle and foot joints first * Start active assisted ROM movements of hip. * avoid forceful movement * Suspension therapy is a good approach * Isometric contraction of thigh and hip muscles through Swiss ball or pillow in supine lying can be started. *Modifications in exercise and rehabilitation protocols can be done after reaching the muscle strength to MMT grade-3.

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Thank you sir for the post @Pankaj Singhal Sir *Healing process is good and part is stable. * partial weight bearing with Walker * Start cross training of knee, ankle and foot joints first * Start active assisted ROM movements of hip. * avoid forceful movement * Suspension therapy is a good approach * Isometric contraction of thigh and hip muscles through Swiss ball or pillow in supine lying can be started. *Modifications in exercise and rehabilitation protocols can be done after reaching the muscle strength to MMT grade-3.

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Looks like basicervical neck of femur fracture. Surgery is done well. Why AP View is not taken Some amount of pain is normal. The patient may be allowed partial weight bearing with walker as it will allow compression and collapse at the fracture site. Analgesic Calcium and vitamin D3 supplements. Parathyroid injection

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Good fixation Stable 6weeks now Partial weight bearing with Walker After one month increase the weight bearing on affected limb At this age osteoporosis is an issue Implant may not take too much load. Be cautious

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#IT femur with neck involved. Non-weight bearing for atleast 5-6 weaks (decide after check X-ray) Gentle passive mobility exercises followed with active assisted. Hip ROM to be achieved..

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