ArticleCureus2025
Postoperative Open Reduction Internal Fixation Discomfort and Rehabilitation Response: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Rehabilitation details after open, comminuted patellar fractures in older adults are seldom published; this case maps a full 20-week recovery using a structured, criteria-based program. A healthy 56-year-old woman was unable to bear weight after a fall, with anterior knee wounds and imaging that showed an open, comminuted left-patella fracture. Six weeks postoperatively, she reported resting pain of 4/5 on the Verbal Rating Scale (VRS) and demonstrated only 40° active range of motion (AROM). The injury was classified as a Type I/II open patellar fracture. It was stabilized with open reduction and internal fixation (ORIF) with tension-band wiring plus screws. Beginning at postoperative Week 6, the patient followed a five-phase outpatient protocol progressing from immobilized isometrics to closed kinetic chain (CKC) functional drills over ≈42 visits. By Week 20, active flexion increased to 129°, quadriceps strength to 4+/5, and the Lower Extremity Functional Scale (LEFS) score to 50/80. Mid-patella circumference fell 1.8 cm, serial radiographs confirmed union, and resting pain fell to 2/5, although intermittent stiffness and mild activity-related aching persisted. A staged, adaptable rehabilitation plan can yield substantial gains in mobility, strength, and function within five months of an ORIF procedure for complex patellar fractures. Daily low-load motion and progressive closed-chain loading appear key, and patients should be advised that modest pain and strength asymmetry may linger beyond 20 weeks, warranting continued follow-up.
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