ArticleClinical case reports2026
Continuous Passive Motion in the Rehabilitation of a Comminuted Patellar Fracture Following Delayed Physiotherapy Initiation: A Case Report.
Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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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Who cites it
2 citing papers in PubMed.
- Trial
- Continuous Passive Motion in the Rehabilitation of a Comminuted Patellar Fracture Following Delayed Physiotherapy Initiation: A Case Report.Clinical case reports · 2026Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Comminuted patellar fractures are challenging injuries, and delays in post-operative physiotherapy significantly increase the risk of arthrofibrosis and long-term disability, particularly in resource-limited settings. A 40-year-old male with multiple comorbidities presented 53 days after open reduction and internal fixation (ORIF) for a comminuted patellar fracture, suffering severe knee stiffness. Initial assessment revealed profound functional impairment: knee flexion limited to 10°, a Visual Analog Scale (VAS) pain score of 8/10, a Kujala score of 19/100, and a Lysholm score of 7/100. A 4-week rehabilitation program consisting of supervised Continuous Passive Motion (CPM) (1 h/day, 4 days/week) and a structured home exercise program was implemented. CPM parameters were progressed based on pain (VAS ≤ 4) and tolerance. After 4 weeks, the patient achieved 110° of knee flexion, pain reduced to 0/10 at rest and 3/10 with movement, and functional scores improved dramatically (Kujala: 69/100; Lysholm: 76/100). This case demonstrates that a combined CPM and home exercise protocol can yield substantial functional recovery even when rehabilitation is initiated late following a complex patellar fracture. It highlights a feasible and effective intervention model for resource-constrained environments where delayed rehabilitation is common.
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