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Rehabilitation After Fracture

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You can find us in Bucharest, Cluj-Napoca, Brasov and Timisoara.
Article written by: ALEXANDRU CRINTEA, MD, Orthopedics-traumatology doctor

Physical therapy after fractures

The fracture represents the interruption of bone continuity. It can occur at any age, but in children, although trauma is more common, fractures are rarer, due to the fact that they have more elastic bones, a lighter body and less developed muscles.
 
The cause of a fracture is trauma or mechanical stress. It can occur through direct or indirect mechanism.
  • Direct action: the force acts directly on the superficial bones, covered only by the skin or after crushing soft parts. The fracture occurs at the same level.
  • Indirect action: the fracture occurs at a distance from the place of application of the force, by bending, twisting or compression.
The area can be diaphyseal (middle part of the bone), metaphyseal (towards the end of the bone), epiphyseal (at the end of the bone). Usually, the fracture is complete. In children it may be incomplete in bending fractures (green wood fracture); also in children, the fracture can occur in the growth cartilage (epiphyseal detachment).
 
Clinical signs present in a fracture include pain, local bruising, deformity of the affected region, limb shortening, and total functional impotence. The diagnosis is radiological, an examination that must be done in case of any bone trauma. Sometimes, for additional information, CT or MRI is needed.


 
Any fracture can be treated in two ways: orthopedic treatment or surgical treatment. Orthopedic treatment involves immobilization in a plaster cast / orthosis that allows the immobilization of the affected limb, thus facilitating callus formation and physiological healing.
At the same time, the surgical treatment involves surgical interventions of variable complexity, using various implants (centromedullary rods, plates, prostheses) so as to obtain the anatomical reduction and fixation of the fracture path.
Even postoperatively, different types of fractures will require a period of immobilization in which the patient will not move the operated limb. Thus, at the end of the immobilization period, the patient will present a significant articulation stiffness, but also muscle atrophies of different degrees, due to the fact that the limb has not been used for a long time. Therefore, the healing process of a fracture does not only include the process of strengthening it, but also the recovery program that will help you resume your daily activities and enjoy an active and healthy lifestyle.
 
Such a well-structured program will help you resume both sports and recreational activities. Physical therapy should be initiated by the orthopedist and continued under the guidance of the recovery physician.

Physical therapy has the following purposes:

• Articulation mobility: is important for resuming all types of movements;
• Muscle toning: will contribute to greater stability of the affected articulations. Maintaining the strength of these muscles can lead to the disappearance of pain and can prevent future injuries.

These problems can also occur in articulations that are not directly involved in the fracture. For example, a fracture of the humerus can lead to articulation stiffness in the elbow or wrist just because the shoulder has been immobilized in a Dessault orthosis / bandage for a few weeks.

When should you start medical recovery?

The ideal time to start the recovery program depends on the type and location of the fracture. Normally, our physiotherapists try to prevent joint stiffness during the 6 weeks necessary for the formation of the initial callus in the neighboring articulations. After 6 weeks or later if radiological investigations indicate poor healing signs, the physiotherapist will work to regain full range of motion and strengthen muscle in the muscle masses acting on the fracture path.

How can I find out more information?

Please contact one of our doctors for additional information specific to your fracture, especially if you feel that you have not made satisfactory progress in the healing process or if mobility is compromised.
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BUCHAREST TEAM

ALEXANDRU CRINTEA, MD ALEXANDRU CRINTEA, MD
Orthopedics-traumatology doctor
ANDREI BOGDAN, MD ANDREI BOGDAN, MD
Orthopedics-traumatology doctor
CATALIN GICAN, MD CATALIN GICAN, MD
Orthopedics-traumatology doctor
ADRIAN POJOGA, MD ADRIAN POJOGA, MD
Orthopedics - traumatology doctor
HORATIU ZORILA, MD HORATIU ZORILA, MD
Orthopedics- traumatology doctor

PAUL NASTASE MD. PAUL NASTASE MD.
Orthopedics Surgeon
ONUT CIPRIAN, MD ONUT CIPRIAN, MD
Orthopedics - traumatology doctor
LUCIAN STANCIU, MD LUCIAN STANCIU, MD
Orthopedics - traumatology doctor
GEORGE CIOBOTARU MD. GEORGE CIOBOTARU MD.
Orthopedist
Claudiu Virban MD Claudiu Virban MD
Orthopedics Surgeon
MOHAMMED ALGAYYIM MOHAMMED ALGAYYIM
Orthopedics Surgeon
Oana Alina Humeniuc MD. Oana Alina Humeniuc MD.
Orthopedics Surgeon
ORLANDO MARINESCU ORLANDO MARINESCU
Pediatric surgeon and orthopedist
ALEXANDRU HERDEA, MD ALEXANDRU HERDEA, MD
Pediatric orthopedics doctor
CATALIN NAHOI CATALIN NAHOI
Pediatric orthopedic doctor
CRISTINA BARBU MD CRISTINA BARBU MD
Pediatric Orthopedist
DUSCA ANDREI, MD DUSCA ANDREI, MD
Pediatric orthopedics doctor
ANDREEA STRATILA MD. ANDREEA STRATILA MD.
Pediatric Orthopedist
GEORGIANA TACHE, MD GEORGIANA TACHE, MD
Medical rehabilitation doctor
EDIS MUSTAFA, MD EDIS MUSTAFA, MD
Medical rehabilitation doctor
ADINA MATEI, MD ADINA MATEI, MD
Medical rehabilitation doctor
RENATA CZEGO, MD RENATA CZEGO, MD
Medical rehabilitation doctor
LUNGU ADRIAN MD. LUNGU ADRIAN MD.
Medical rehabilitation doctor
MIHAELA PARNIA MD MIHAELA PARNIA MD
Rehabilitation Doctor
Georgiana Dila Sirbu MD Georgiana Dila Sirbu MD
Rehabilitation physician
BOGDAN ROTARU, MD BOGDAN ROTARU, MD
Neurologist
LAURENTIU SIMION, MD LAURENTIU SIMION, MD
Neurologist
SIMONA MAN, MD SIMONA MAN, MD
Neurologist
ANA GHEORGHIU MD ANA GHEORGHIU MD
Neurologist
RUXANDRA AURSULESEI, MD RUXANDRA AURSULESEI, MD
Pediatric neurologist
CRISTINA ANGHELESCU MD. CRISTINA ANGHELESCU MD.
Pediatric Neurology Specialist
ROBERT CLEMENT MD ROBERT CLEMENT MD
Neurosurgery specialist
COSMIN PANTU, MD COSMIN PANTU, MD
Radiologist
OANA ENACHE (OLTEANU), MD OANA ENACHE (OLTEANU), MD
Rheumatologist
ALIZZI KHALID, MD ALIZZI KHALID, MD
Rheumatologist
MARIUS TRANDAFIR, MD MARIUS TRANDAFIR, MD
Rheumatologist
OCTAVIAN CRETU, MD OCTAVIAN CRETU, MD
Urologist
PETRU STEGARESCU MD. PETRU STEGARESCU MD.
Urologist
CRISTINA NEAGU, MD CRISTINA NEAGU, MD
Vascular surgery doctor
RALUCA POPA MD. RALUCA POPA MD.
Vascular surgery physician
Dr. DACIANA ISPIR Dr. DACIANA ISPIR
Health Coach

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