Physiotherapy at this stage will include: At this time the fracture is painful but it is crucial to get moving in a safe manner. During the first month of your physiotherapy programme with .uk the main aims are to control your pain and swelling, passively improve range of motion at your knee and hip and partially weight bear through your leg.Treatment will also be focused on maintaining strength in your unaffected leg and your upper limbs. Promote independence with functional activitiesĪt this stage weight bearing through your leg is limited to avoid excessive force on the fracture.Strengthening of the quadriceps and hamstrings.Restoring and maintaining full range of motion at the knee and the hip.Rehabilitation goals at .uk will include: If the fracture is unstable the nail is anchored by locking screws.Ībove: Soft tissue massage of the quadricep muscles ORIF surgery of the femoral shaft involves placing a nail through the bone. This can be performed by Open Reduction Internal Fixation (ORIF) using steel screws, rod, plates, pins or K-wires to hold the broken bones in alignment. This can be done through surgery (open reduction).If the fracture is unstable or complicated fixation may be required to hold the broken ends of the bone in the correct position. The broken femur needs to be realigned (reduced). Type III – Open: the bone breaks the surface of the skinįemoral shaft fractures result from significant force transmitted from a direct blow such as a road traffic accident, or fallor from indirect force transmitted at the knee.Type II – Comminuted: the bone is broken into many pieces.Type I - Spiral or transverse (most common): a twisting fracture. ![]() The 3 types of femoral shaft fractures include: ![]() It is surrounded by muscle and has a good blood supply so when disrupted, can result in significant bleeding. The femur, or thigh bone, is a large and strong bone so it requires a substantial amount of force to fracture. Open reduction internal fixation (ORIF) is a surgical procedure to treat a displaced fracture of the femoral shaft. Physiotherapy for Open reduction internal fixation (ORIF) of the femoral shaft
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