Rehabilitation after a femur fracture in Kyiv

What is rehabilitation after a hip fracture at Kinezium?

Rehabilitation after a hip fracture in KINEZIUM is recovery after a fracture of the femur or femoral neck, aimed at restoring support, gait, strength, balance and everyday activities. A hip fracture often significantly limits independence: it is difficult for a person to get up, walk, carry body weight, use stairs and return to the usual rhythm of life. After surgery, osteosynthesis or endoprosthetics, the program should take into account the type of intervention, allowed support, pain, risk of falls, osteoporosis, thrombosis risks and doctor's recommendations. In KINEZIUM, rehabilitation may include gait training, exercises for the hip, gluteal muscles and body, balance, gradual increase in load and home recommendations. The goal is to restore safe mobility and reduce the risk of repeated falls.

Causes of hip fracture

A hip fracture can occur after a fall, a traffic accident, a sports injury, a direct blow, or osteoporosis. In older patients, a hip fracture often occurs after a fall from a height of their own height, while in younger people, a high-energy trauma is more likely to occur.

Degrees of hip fracture

The degree of hip fracture depends on the location, displacement, stability, treatment method, and permitted support. Femoral neck fracture, femoral fracture, and post-arthroplasty have different recovery logics.

Consequences of inactivity in case of hip fracture

If rehabilitation is not carried out after a hip fracture, weakness, fear of walking, impaired balance, loss of independence and a high risk of repeated falls may remain. Prolonged inactivity is especially dangerous for the elderly: muscle mass, endurance, and the ability to stand up and walk decrease. If you put weight on your leg too early without your doctor's permission, pain or risk in the area of the fracture or fixation may increase.

Possible consequences:

• prolonged dependence on assistance;
• weakness of the thigh, gluteal muscles and trunk;
• fear of complete support;
• gait and balance disorders;
• difficulty with stairs and getting out of a chair;
• increased risk of repeated falls.

After a hip fracture, rehabilitation is often a key condition for returning to independence.

Who needs rehabilitation after a hip fracture?

Rehabilitation after a hip fracture is necessary for patients after an injury, surgery, osteosynthesis or endoprosthesis, pain, weakness and fear of walking. It is especially important for older people, in whom a hip fracture can quickly lead to a loss of strength and independence. The program is also needed for those who, after discharge, walk with a walker, crutches or are afraid to step on their feet.

What tasks does recovery after a femur fracture solve?

Rehabilitation after a hip fracture helps to regain support, gait, hip and gluteal muscle strength, balance, getting up from a chair, and climbing stairs. In the early stages, it is important to adhere to support restrictions and control pain. This is followed by exercises for the hip, gluteal, and core muscles, gait training, balance, and gradual increase in distance. If a joint replacement was performed, postoperative guidelines should be followed. If the fracture is associated with osteoporosis, it is also important to work on fall prevention.

How does rehabilitation after a femoral neck fracture differ from a hip fracture?

Rehabilitation after a femoral neck fracture differs from a hip fracture in terms of location, risks, limitations of support, impact on the hip joint, and rate of recovery. A femoral neck fracture is closer to the hip joint and often requires arthroplasty or fixation, especially in older patients. A femoral shaft fracture more often requires osteosynthesis and controlled union.

How is rehabilitation after a hip fracture at Kinezium in Kyiv?

Rehabilitation after a hip fracture at KINEZIUM in Kyiv begins with an analysis of the images and discharge, assessment of support, gait, pain, strength, balance and permissible load. The specialist clarifies whether there was osteosynthesis, endoprosthesis or another treatment method, what restrictions the doctor gave and what household tasks are currently the most difficult. Next, exercises are selected for strength, mobility, balance, gait training and a gradual increase in activity. If the patient walks with a walker or crutches, they are taught how to safely transition to a more independent gait. The load is increased only within the limits of medical recommendations.

How is recovery after a hip fracture different from rehabilitation after joint replacement?

Recovery after a hip fracture differs from rehabilitation after a joint replacement in that after a fracture, the key is bone union, postoperative rules, support, pain control, gait training, and fall prevention. After a joint replacement, there is a prosthesis and special safety rules, and after osteosynthesis, fixation and control of the union. In both cases, strength, balance, and a gradual return to walking are required.

What restrictions should be considered after a hip fracture?

After a hip fracture, incomplete union, pain, risk of falling, limited support, thrombotic risks, osteoporosis, and physician recommendations should be considered. If the patient is only allowed partial support, full gait should not be attempted independently. Particular attention should be paid to calf pain, shortness of breath, sudden swelling, fever, or signs of infection after surgery.

MedlinePlus Hip fracture describes a hip fracture as an injury that occurs more often in older people and is often associated with a fall or osteoporosis: https://medlineplus.gov/ency/article/000168.htm. AAOS Hip Fractures notes that treatment almost always requires hospitalization and often surgery, and recovery includes physical therapy: https://orthoinfo.aaos.org/en/diseases–conditions/hip-fractures/. CDC STEADI materials emphasize the importance of fall prevention in older adults: https://www.cdc.gov/steadi/index.html. Practical conclusion: after a hip fracture, safe gait and fall prevention are as important as strength.

What results can you expect after rehabilitation at Kinezium?

After rehabilitation in KINEZIUM, you can expect a gradual return of gait, support, strength, balance, daily activities and confidence in movement. The result depends on the type of fracture, surgery, age, osteoporosis, strength before injury, pain, allowed support and regularity of training. In practical life, this means easier standing, walking, using stairs, being on your feet for longer and reducing the fear of falling.

AAOS Hip Fractures describes the role of physical therapy after a hip fracture in restoring mobility: https://orthoinfo.aaos.org/en/diseases–conditions/hip-fractures/. MedlinePlus Rehabilitation explains that rehabilitation helps regain the abilities needed for daily living after an injury or treatment: https://medlineplus.gov/rehabilitation.html. The AAOS Hip Conditioning Program provides exercises for the muscles that support the hip joint and stability: https://www.orthoinfo.org/en/recovery/hip-conditioning-program/hip-pdf/. Practical conclusion: the outcome after a hip fracture is the return of mobility, strength, and safe independence.

How to sign up for rehabilitation after a hip fracture?

To sign up for rehabilitation after a hip fracture, you need to contact KINEZIUM and inform them of the date of the injury, the type of fracture, whether there was surgery, osteosynthesis or endoprosthesis, as well as the level of support allowed. It is advisable to take a doctor's statement, photographs and recommendations for the first visit. The specialist will assess gait, support, strength, balance, pain and safety of the load. After that, an individual recovery program is formed. If there is acute pain, severe swelling, pain in the calf, shortness of breath or signs of infection, medical attention is required first.