REPORT OF A DIAPHYSEAL FRACTURE OF THE FEMUR WITH RECURRENCE

PHYSIOTHERAPEUTIC APPROACH

Abstract

Abstract

Diaphyseal femur fractures compromise lower limb function and require surgical treatment followed by physiotherapy rehabilitation to reduce damage such as edema, deformities, and difficulty or inability to bear weight. Early rehabilitation is crucial for functional recovery and prevention of complications; however, fracture recurrence can worsen the prognosis, favoring stiffness, muscle weakness, and functional imbalances. The objective of this study was to report the clinical evolution and physiotherapy approach in a case of recurrent diaphyseal femur fracture. This is a case report, with data obtained from medical records, physiotherapy progress notes, and radiographs. The patient initially showed favorable progress, but after four months, suffered a new fracture while walking at home, resulting from ankle inversion. The physiotherapy intervention included continuous and assisted joint mobility; strengthening of quadriceps, gluteal, and ankle stabilizing muscles; functional gait, balance, and proprioception training, as well as pain control through electrothermophototherapy. Gradual improvement in mobility, pain reduction, decreased edema, and progressive return to independent walking were observed. Fall prevention and continuous muscle strengthening are fundamental to avoid secondary complications. Early and continuous physiotherapy rehabilitation is essential for functional recovery after diaphyseal femur fractures, including in cases of recurrence. The physiotherapy approach proved effective in restoring function and reducing complications. Continuous muscle strengthening and fall prevention are fundamental to avoid new fractures and ensure the patient's autonomy and quality of life. It is concluded that physiotherapy rehabilitation is a crucial component in the treatment of diaphyseal femur fractures, and its importance cannot be underestimated. It must be personalized and adapted to the individual needs of the patient, taking into account the severity of the fracture and the presence of other health conditions. Continuity of treatment and prevention of complications are essential to ensure functional recovery and the patient's quality of life. Therefore, early and continuous physiotherapy rehabilitation is fundamental for the treatment of diaphyseal femur fractures, and its importance should be recognized and valued by the healthcare team and patients.

Keywords: Femur fracture. Physiotherapy. Rehabilitation. Recurrence. Fall prevention.