Effect of physiotherapy rehabilitation on stage 4 avascular necrosis of femur following pyogenic arthritis: a case report.

Avascular necrosis of the femur is a painful condition marked by a disruption in the blood supply to the femoral head, which causes the femur bone to distort; characterized by pain and restriction of movements at the affected joint with a limp. The study aimed to provide a case of nontraumatic stage-4 avascular necrosis of the left femoral head with gross 40-degree adductor deformity. In this report, a 27-year-old female complained of pain in her left hip joint and difficulty in walking. She was a known case of pyogenic arthritis with 5 cm of true shortening on her left side and a gross 40-degree adduction deformity of her left leg. According to Ficat and Arlet's grading system, an X-ray showed stage-4 avascular necrosis of the left femoral head. For this, she was managed with adductor tenotomy, medications, and physiotherapy management with a one-month rehabilitation protocol. A physiotherapy intervention consists of a non-weight-bearing phase and a weight-bearing phase. At the time of her physiotherapy discharge, the patient experienced alleviation from symptoms and achieved functional mobility that she had previously been unable to tolerate owing to pain. As a result, physical therapy rehabilitation has been proved to be highly beneficial. This case study concludes that multidisciplinary team including medical, surgical approach and physiotherapy rehabilitation played a vital role in reducing pain; enhance muscle strength, functional independence, and quality of life in patients with stage 4 avascular necrosis of the femur followed by pyogenic arthritis.

Effect of physiotherapy rehabilitation on osteogenesis imperfecta with a midshaft tibial fracture in the 11-year-old patient: a case report.

Osteogenesis imperfecta (OI), a brittle bone disease is a rare genetic condition characterised by skeletal anomalies that results in higher bone fragility, reduced bone mass, deformity, and other connective-tissue signs in which the body is unable to form healthy bones. This case report presents a case of an 11-year-old male kid who visited our hospital with a complaint of pain and deformity in his left leg. After investigations, he was diagnosed with osteogenesis imperfecta with a midshaft tibial fracture of the left leg. Physical therapy rehabilitation was started and plays one of the important roles in the management of this condition along with medical and orthopedic management. Physical therapy involves strengthening exercises, stretching exercises, bracing, functional activities, gait training, etc. This case study highlighted that physical therapy rehabilitation along with multidisciplinary care; can help the patient with pain management and functional independence which enhances the patient's strength, endurance, prevents deformity, and improves the patient's quality of life.