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Physiotherapy of patients after osteosynthesis of the talocrural joint fracture
POLÍVKOVÁ, Lucie
Fractures in the area of the talocrural joint are among the most common fractures in the lower extremity. Mostly they are open fractures due to poor soft tissue cover around the joint. The high injury rate is mainly due to the fact that it is a highly loaded part of the foot. These injuries are often caused by sprain (supination, pronation, rotation) of the ankle joint with ligament damage at this site. As a result, the external ankle, inner ankle, or both ankles may break off and dislocate, even with the rear edge of the distal tibia breaking off. At the same time, a swelling at the fracture site and a blood sprain can develop. The treatment is usually operative (only in the case of dislocated fracture types), namely by fixing with screws and splints (osteosynthesis) and reconstruction of collateral ligaments. Patients immediately after these surgical procedures tend to have an ankle restrained and unstable, not to exert too much foot pressure on the foot, etc. Early physiotherapy, which is in the form of medical-physical training, stabilization and strength training, is important to restore the patient to normal life. Thanks to the timely initiation of physiotherapy, restoring the proper functioning of this joint and adapting to normal daily stress is easier.
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