Exercise after internal fixation of femoral neck fracture is staged exercise, which is divided into early bed rest exercise (the first three months after the operation), exercise after clinical healing (3-4 months after the operation), and weight-bearing exercise in bed (about 4-5 months after the operation).
1. Early bed rest exercise: bed rest is needed within three months after internal fixation to prevent the position of steel plate or screw from shifting. After 15 days after surgery, patients can be instructed and assisted to perform knee flexion, hip flexion, isometric contraction and other related parts of the quadriceps muscle to prevent venous thrombosis of the lower limbs.
One month after the operation, the patient’s affected limb should be kept in abduction and fixed, and hip flexion exercise should be done every two days, and knee extension training can be carried out 3 months after the operation.
2. Exercise after clinical healing: when the fracture reaches the clinical healing standard, patients can be instructed to stand up, and can be assisted by crutches to walk without weight bearing.
3. Exercise after getting out of bed: after getting out of bed, the patient should first use auxiliary devices to do non-weight-bearing extension and flexion exercises of ankle, knee and hip joints, and then, after 4-5 months, start weight-bearing walking with the assistance of double crutches or single crutches, and gradually abandon the crutches to walk on their own.
It is recommended that patients after internal fixation of femoral neck fracture should follow the doctor’s instructions to carry out rehabilitation exercises, pay attention to gradual exercise, and not early strenuous activities, so as to avoid the angle of internal fixation skewed, and the fracture part of the healing process is not good.