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Patella Fracture Physiotherapy



A patella fracture is a bone breakage of the kneecap.

Symptoms include

to the front of the knee. The patient may also find it difficult or unable to walk. Complications may include injury to the tibia, femur, or knee ligaments (such as anterior cruciate ligament ACL injuries).

It typically results from a hard blow to the front of the knee or falling on the knee. Occasionally it may occur from a strong contraction of the thigh muscles. Diagnosis is based on symptoms and confirmed with X-rays. In children an MRI may be required.

Treatment may be with surgery or conservatively (no surgery), depending knee-immobilization-splinton the type of fracture. Stable undisplaced fractures can usually be treated by with plaster casting to immobilize the knee and patella (this can be done with thermoplastic splinting as well, which our senior hand therapists can fabricate for patients on the spot).

Even some displaced fractures can be treated with casting as long as a person can straighten their leg without help. Typically the leg is immobilized in a straight position for the first three weeks and then increasing degrees of bending are allowed. Other types of fractures generally require surgery.

Patella fractures make up about 1% of all broken bones and it is males who are affected more often than females. Patients also tend to be more middled aged (above 40-50 years of age).

Fortunately, outcomes are typically good with knee physiotherapy.

Diagnosis

Diagnosis is based on symptoms and confirmed with X-rays.

In children an MRI may be required.

Treatment

Treatment may be with or without surgery, depending on the type of fracture.

Conservative

Undisplaced fractures can usually be treated by casting.

Even some displaced fractures can be treated with casting as long as a person can straighten their leg without help. Typically the leg is immobilized in a straight position for the first three weeks and then increasing degrees of bending are allowed.

Surgery

Patellectomy (in cases of comminuted fracture) is removal of the entire patella, whereas a partial patellectomy is removal of only a portion of the patella, while any ligaments or tendons that had been connected to the removed portion are connected to the remaining portion.

The fracture may require tension band wiring (in case of two part fracture) to unite the fractured bones. With advancement of fixation technique comminuted fracture of the patella are being reconstructed (patella saving operations).

Knee Physiotherapy

An effective rehabilitation program reduces the chances of re-injury and of other knee-related problems such as patellofemoral pain syndrome and osteoarthritis.

Typically patella dislocations are initially immobilized for the first 2–3 weeks to allow the stretched structures to heal.

Rehabilitation focuses on maintaining strength and range of motion to reduce pain and maintain the health of the muscles and tissues around the knee joint.

The objective to any good rehabilitation program is to

A common physiotherapy plan is to strengthen the

  • hip abductors
  • hip external rotators
  • and quadricep muscles

Commonly used exercises include isometric quadricep sets, side lying clamshells, leg dips with internal tibial rotation, etc.

The idea is that because the medial side is most often stretched by the more common lateral dislocation, medial strengthening will add more stabilizing support.

With progression more intense range of motion exercises are incorporated.

Our senior physiotherapists will also use treatment modalities such as



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book your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

Phoenix Rehab physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.



HAND THERAPY &  SPLINTING

Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes



CLINICAL PILATES & WELLNESS PILATES

Clinical Pilates is a form of physical exercise that focuses on

  • posture
  •  core stability
  • balance
  • control
  • strength
  • flexibility and
  • breathing

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



TRADITIONAL CHINESE MEDICINE (TCM)



DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY

Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to

  • accelerate recovery and
  • shorten downtime / recovery period required

It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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We appreciate you as our valued clients and want you to know that the #1 way we grow as a clinic/brand is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here