Rehabilitation after multiple fractures of olecranon process treated surgically. A case study

Joanna Bukowska, Magdalena Wilk-Frańczuk, Rafał Trąbka, Tomasz Maicki

J. Bukowska, M. Wilk-Frańczuk, R. Trąbka, T. Maicki – Rehabilitation after multiple fractures of olecranon process treated surgically. A case study. Fizjoterapia Polska 2019; 19(2); 106-114

Abstract
Goal of the study is to present a process and results of rehabilitation of a patient after fracture of elbow joint – a case study.
Materials and methods are shown basing on rehabilitation of a 23-year old female patient after fracture of the right olecranon process as a result of a bike fall. She was treated surgically by reposition and stabilization of the fracture by Weber’s wire. The rehabilitation started two weeks after the operation in an ambulatory conditions, after which the full range of motion in the joint was not achieved. Flexion and extension contracture, significantly limiting everyday activities, has been established. Subsequent cycles of intensive physiotherapy influenced improvement of joint function, pain reduction and allowed to achieve goals set in an individual physiotherapeutic plan. The recovery process in the presented case was long and lasted 2.5 years due to numerous complications treated surgically.
Results. Analysis of the process shows that main physiotherapeutic approach should be aimed at limitation of inflammation, pain reduction and achieving full range of motion in the elbow joint.
Conclusion. 1. Fractures of olecranon process lead to complications. 2. Rehabilitation after fractures of olecranon process should be early, intensive and individualized. 3. Presented programme of rehabilitation allowed recovery of lost functions.

Key words:
fracture of olecranon process, complications, arthrolysis, physiotherapy, contracture

 

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