Comprehensive Physiotherapy Protocol in Post-operative Case of Trimalleolar Fracture: A Case Report

• Published in: Cureus Vol. 15; no. 12; p. e50705
• Main Authors: Agrawal, Ishika T, Thakre, Vaishnavi M, Deshpande, Maithili M, Bahirde, Chinmay
• Format: Report
• Language: English
• Published: 01.12.2023
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.50705

A common ankle fracture that can have major consequences and expensive medical bills is the trimalleolar fracture. The trimalleolar fracture is the least frequent type of ankle fracture. The number of afflicted malleoli, the kind of fracture of the lateral and medial malleolus and the congruence of the ankle joint were all examined in detail for the trimalleolar ankle fracture. This type of fracture is brought on by high-energy trauma. In this case report, we describe a 56-year-old female patient who was involved in a road traffic accident. After being taken to the hospital for further examination, her ankle fracture was determined to be a trimalleolar one. She had an internal fixation with canulated cancellous screws and nails for open reduction. For such patients, we designed a physiotherapy course based on early rehabilitation and sensorimotor retraining to help with proprioception training, gait training and lower-limb muscular strength training. The lower limb's strength and range of motion were improved with the treatment. The outcomes used were the numerical pain rating scale (NPRS), functional independence measure (FIM), lower-extremity functional scale (LEFS), range of motion (ROM), gait parameters and manual muscle testing (MMT).