REHABILITATION CHALLENGES IN A PATIENT WITH A RECENT RIGHT TIBIA AND FIBULA FRACTURE AND A NEGLECTED OLD HIP FRACTURE

Abstract

Introduction: Fractures, characterized by the disruption or breakage of bone integrity, are among the most prevalent and clinically significant musculoskeletal injuries encountered in medical practice. Post-fracture rehabilitation is a cornerstone of recovery, as it plays a pivotal role in restoring optimal function and mobility. Inadequate rehabilitation following traumatic fractures can result in diminished joint function, muscular weakness, altered gait patterns and activities of daily living, further complicating the clinical management of future fractures and impairing long-term recovery. Materials and methods: We present the case of a 52-year-old male patient with a surgically treated distal tibial and fibular fracture, accompanied by multiple comorbidities, including a previously treated anterior intertrochanteric fracture (one year prior), leg length discrepancy, hypertension, type 2 diabetes and liver cirrhosis. Results: The patient underwent a tailored rehabilitation program encompassing physiotherapy, kinesiology and pharmacological treatment, resulting in significant alleviation of pain, progressive enhancement of muscle strength and improvement in joint mobility. After over a year of prolonged immobilization, upon discharge, the patient was able to walk short distances on level ground with the aid of crutches. Conclusions: A comprehensive, multidisciplinary approach —emphasizing biomechanics and functional mobility—is essential for optimizing rehabilitation outcomes and restoring patient functionality following musculoskeletal injuries.