Patellar fractures are relatively common injuries, most commonly seen in bruises or falls. Treatment usually consists of conservative treatment with external fixation in a cast or surgical incision and internal fixation. Treatment of fresh patellar fractures should maximize the smoothness of the joint surface, give a firmer internal fixation, and move the knee early to prevent the occurrence of traumatic arthritis.
Rehabilitation care of fracture is an important and indispensable part of the treatment process. It can prevent the occurrence of disuse syndrome of the fracture: muscle atrophy of the affected limb, joint stiffness and limb deformity, which is extremely important for patients after the fixed reset of patella fracture. Patella fracture rehabilitation exercises should be mainly active functional exercises, pay attention to the coordination of movements, step by step, the amount of activity from less to more, the range of activities from small to large, do not take any rough passive activities.
1, early after the injury pain slightly reduced, that should begin to practice limb quadriceps isometric contraction, not less than 100 times per hour, to prevent limb quadriceps adhesion, atrophy, knee extension weakness, to lay a good foundation for walking on the ground. If there is no contraindication, the patella should be pushed left and right at any time to prevent adhesion of the patella to the joint surface. Practicing ankle and foot joint activities, moving the toes hard, slowly and as widely as possible is important for promoting circulation, decreasing swelling and preventing deep vein thrombosis.
2, one month after the injury, the doctor can decide to start joint mobility exercises according to the situation, otherwise the knee joint may stiffen in the future, affecting the squatting function of the affected limb and causing great inconvenience to life.
The exercise methods at home are: ① sitting on the edge of the bed, the back of the knee pad solid fall not empty, by others to grasp the power to slowly press down the leg (that is, bending the knee), be sure not to use violence, the angle, the force should be gradual, or put an appropriate weight on the back of the foot, such as pillows, etc., their own force to bend the knee, straight, then bend the knee, straight cycle; ② lying flat on the bed, the affected limb straight up and vertical bed, their own force or ② lying flat on the bed with the affected limb straight and elevated perpendicular to the bed surface, bending and straightening by oneself or with the help of others
③ Specially reiterate the need to pay attention to: ① power should be gradual, do not use violence; ② others help that is called passive training, can only exercise the mobility of the joint, not muscle strength, the final rely on their own initiative to exercise, the two should cooperate; ③ the initial exercise will be pain, you can take a little painkillers to relieve pain, increase confidence to continue to exercise; ④ do not demand too high exercise effect, that is, do not expect 3-4 days of exercise. That is to say, do not expect 3-4 days on how, but also can not be used as a reason for negativity.
For the joints, stiff joints are useless, and a person’s normal life and work will be seriously affected. The knee joint should be flexed to a minimum of about 110 degrees to meet the needs of normal life of a person. The principles of orthopedic treatment are reset, fixation, and functional exercise, one of which is indispensable.