Knee Rehabilitation After Severe Tibial Fracture - Orthopedics

More Info

---

Rehabilitation after a severe tibial fracture, especially one that involves the knee joint, can be a complex and challenging process. It is essential to understand the nature of your injury and the rehabilitation strategies that can help you regain function and mobility. Based on your situation, here are some insights and recommendations regarding your rehabilitation journey.

1. Knee Flexion and Extension: It is common for patients recovering from a tibial fracture to experience limitations in knee flexion and extension. The fact that you can bend your knee to about 85 degrees is a positive sign, but it is understandable that you want to improve this further. It is crucial to approach knee flexion exercises carefully. While it may be tempting to push hard for greater range of motion, doing so can lead to inflammation and swelling, which can hinder your progress. Instead, focus on gentle, controlled movements. Gradually increase the intensity of your exercises as your knee tolerates it.

2. Progress Stagnation: Reaching a plateau in your rehabilitation, such as being stuck at 85-90 degrees of flexion, is not uncommon. This can occur due to various factors, including muscle tightness, joint stiffness, or even scar tissue formation. To address this, consider incorporating a variety of stretching and strengthening exercises into your routine. Physical therapy can be invaluable in this regard, as a trained therapist can provide tailored exercises that promote flexibility and strength without overexerting the knee.

3. Effective Exercises: To improve knee flexion and extension, consider the following exercises:
- Heel Slides: While lying on your back, slide your heel towards your buttocks, bending your knee as much as possible. Hold for a few seconds and then slide it back. Repeat several times.

- Quadriceps Sets: While sitting or lying down, tighten your thigh muscle (quadriceps) and hold for a few seconds. This helps strengthen the muscles around the knee.

- Straight Leg Raises: While lying down, keep one leg straight and lift it to the height of the opposite knee. This exercise strengthens the quadriceps without putting too much strain on the knee.

- Wall Slides: Stand with your back against a wall and slide down into a squat position, holding for a few seconds before sliding back up. This can help improve both strength and flexibility.

4. Surgical Intervention: Regarding the possibility of surgery to clear adhesions and forcibly bend your knee to 120 degrees, this is a significant decision that should be made in consultation with your orthopedic surgeon. Surgery can be beneficial in certain cases, especially if there are significant adhesions or if conservative measures have failed. However, it also carries risks, including infection, further stiffness, and the need for additional rehabilitation. Discuss the potential benefits and risks with your doctor, and consider getting a second opinion if you have concerns.

In conclusion, rehabilitation after a severe tibial fracture requires patience and a strategic approach. Focus on gentle, progressive exercises, and communicate openly with your healthcare team about your progress and any concerns. Remember that everyone's recovery journey is unique, and it is essential to listen to your body and adjust your rehabilitation plan as needed. With time and consistent effort, you can improve your knee function and return to your desired activities.