Fracture of the ankle

Pages: 1 2

There are outer ankle fractures, internal ankles, two feet, two ankles with regional fracture of the tibia (the so-called trehozerky fracture) without bias or (more often) with displacement. They arise when the side and rotational movements in the ankle joint in violation of the normal amplitude: povertyline feet, forced rotation of the tibia fixed stop and the other two Broken ankles and back edges of the tibia offset combines, as a rule, with the dislocation of the foot.

plaster bandage with stapes
Fig. 31. Plaster bandage with stapes

Fractures without bias impose a plaster bandage with stapes (Fig. 31) from the toes up to the knee joint. After drying it is prescribed physiotherapy and walking with crutches, stepping on the stirrup. I period lasts until the removal of the cast. Goals of it are: restoration of blood and lymph circulation in the damaged leg, fighting swelling, muscle tone and mobility in the joints, free from plaster, sending pulses in the ankle. On the background of General developmental and respiratory exercises are executed movements in the joints, free from gypsum, exercises aimed at strengthening the quadriceps muscle of thigh, ideomotor exercises for ankle joint. The patient is taught to walk with crutches on a flat surface, on the stairs. Duration of training 20-25 minutes they are Held 3 times a day.
In the II period (after removal of plaster) tasks of therapeutic exercises are: restoration of movements in the ankle joint, fighting swelling damaged legs, prevention of traumatic flatfoot, development of deformity, growth spurs ' (usually the heel), curvature of the fingers. To this end immediately after removal of plaster in footwear invest individually made the instep. On the background of General developmental and breathing exercises do various exercises for ankle joint in different initial positions: lying on his back, stomach, sitting, standing; exercises in different variants complicated walking on toes, heels, on the outer or inner arch stop, forward, back, side, krestnym step, fast, and others; exercises based on the foot on the bar, at the bike.
At fracture of the ankle in any place is swelling of the foot. To combat the swelling is recommended to lie for 10-15 minutes 3-4 times a day, lifting her legs at an angle of 120 to 130 degrees and in the hip joints. In 5 min after this, perform the following special exercises.
1. The reduction of the quadriceps muscle of thigh - 20-30 times. The pace is slower. Breathe freely.
2. Bending and straightening stop-10-20 times. The pace is slower. Breathe freely.
3. The stretching and bending of the fingers is 10-20 times. The pace is slower. Breathe freely.
Pause rest 1-2 minutes
4. The stretching and bending of the fingers is 10-20 times. The average rate. Breathe freely.
5. A circular motion footsteps - 10 times in each direction. The average rate. Breathe freely.
6. Bending and straightening stop with maximum amplitude-10-20 times. The average rate. Breathe freely.
7. Alternately bending the legs to the stomach (socks "for themselves"), and 10 times for each leg. The average rate. Breathe freely.
8. Pinch open and socks feet with maximum rotation of the whole foot - 10 times. The average rate. Breathe freely.
9. Alternate lifting of direct feet to a 90 angle in hip joints (socks "for themselves"), and 10 times for each leg. The average rate. Breathe freely.
10. The reduction of the quadriceps muscle of thigh-20-30 times.. the Pace is slower. Breathe freely.
11. Lifting direct damaged legs up to 90 angle in the hip joint and simultaneous bend and straighten the fingers and feet on weight - 10 times. The average rate. Breathe freely.
12. Rest in the supine position with a raised leg - 5-10 minutes