The initial postoperative period of intertrochanteric fracture in the elderly should be dominated by active muscle contraction and diastole; moderate resistance training can be carried out about six weeks after the fracture is stabilized; resistance training should be strengthened after the fracture is completely healed. The specific ways are as follows:
1. Ankle pump exercise: hook the foot for about 5 seconds, then tense the foot for about 5 seconds, do 3~5 each time.
2. Quadriceps contraction training: contract the muscles in front of the thigh, try to force to keep the knee straight, hold for 5~10 seconds. Repeat the exercise 10 times in two minutes, rest for one minute, and then repeat.
3. Straight leg raise: tighten the thigh muscles, the knee joint is completely straight on the bed, and then lift the whole lower limb away from the bed a few dozen centimeters, hold for 5~10 seconds, and slowly put it down.
4. Bend the knee in bed: put the heel on the bed, bend the knee, move the foot to the hip, keep the knee bending at its maximum for 5~10 seconds, and then straighten it. Repeat several times.
After 1 month you can start walking with the aid of a single crutch, hand-held on the healthy side, and finally gradually transition to walking off the crutch. Going up and down stairs Going up and down stairs requires good muscle strength and mobility. Initially, a handrail is needed for support, one step at a time, using the knee on the healthy side to guide up the stairs and the knee on the affected side to guide down the stairs.
Patients are advised to perform rehabilitation exercises under the guidance of a doctor to avoid secondary injuries caused by improper self-manipulation.