Postoperative Management of the Shaft of the Femoral and Tibial Fracture:Gradually Weight Bearing in the Pool Bath

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In the operative treatment for fracture, operation without cast immobilization after surgery has been carried out. However, there were only few description of starting time and its concrete method for post-operative exercise. Though, operative technique varies in choice according to location and type of fracture, we obtained good result by carring postoperative therapy as follows.About 10 days after surgery, patient was put into pool bath up to the neck, and water is controlled at 39°C in temperature, therefore 10% of weight of the body bear on feet and carried on slow reciprocal motion of lower limbs. After identification of entirly free from pain at weight bearing, gradually submerged level was lowered, accordingly from about 3 weeks after surgery submerged level is processus xiphoideus, and at 4 weeks after surgery level is the navel, therefore 50% of body weight bear on feet. Further after 4 weeks submerged level is the greater trochanter, then 2/3 body weight bear on feet. At a time like this, patient is carried out additional muscle exercise, in addition to resistance by means of rather swift movement, after 5 weeks gait with one cane is carried out.
西日本整形・災害外科学会の論文