Abstract

Introduction: Bone repair after fracture can be slowed down for higher reasons: changes in circulation, neuro circulatory dysfunctions, infections, hormonal disorders, primary and metastatic tumors, Patients after surgical treatment come for rehabilitation. The purpose of our research is to represent our experiences in managing the rehabilitation process in the category of patients with bone disorder after fracture and physical medicine practice.

Material and Methods: This work is a synthesis of four ways of treating this group of patients. Patients came for rehabilitation from a parent orthopedic traumatology department or from other institutions of the same type. 53 patients, of different ages divided into four groups by the method of physical treatment and etiology of slow bone remediation were taken for analysis. Group 1-30 patients with fracture and circulatory disturbances, Group 2-20 patients, with fracture and postmenopausal osteoporosis. Group 3-2 patients, with fracture and no formation of callus after 1 year of injury. Group 4-1 patient, fracture-treated surgery and osteosynthesis, and conventional physical therapy without stimulation of callus 6 months after surgery. Assessment of the treatment was scored before and after 2 and 6 months of Physical therapy treatment with measurement of pain, swelling, skin color, range of motion, local osteoporosis by X-ray picture and fracture line signs.

Results: Before after two months score for groups were following: 1(95/8.3%), 2(70/30%), 3(50/15%), 4(17/17%).

Discussion: Patients come for rehabilitation after completing surgical treatment, and the radiographic finding of local posttraumatic osteoporosis is evident. Patients with postmenopausal and systemic osteoporosis are at risk of fracture. Patients treated with bunched transplantation, due to slowing down on fracture, can form callus if it is included after surgery. Stimulation of callus with light therapy, has a science basis.

Conclusion: Successful treatment of conditions with delayed bone healing is necessary to have multidisciplinary treatment, with medication, surgery and conventional physical therapy modalities with effect on bone mass formation.

Keywords: Slow bone healing; Physical therapy modalities