PHYSIOTHERAPY FOR CONTROLLING THE COMPENSATORY MECHANISMS AFTER SURGICALLY TREATED COMPLEX ACETABULAR FRACTURES

Abstract

The social relevance of the topic is the opportunity to prevent by physiotherapy the compensations that lead to complications which affect patients' daily lives. The purpose of this study is to present the physiotherapy to control the most common compensatory syndromes, namely "short leg", in patients after surgically treated complex acetabular fractures. METHOD Twenty two patients were operated on surgical stabilized method with reconstructive plates and screws from 2000 to 2019. Pelvis stabilization was achieved by physiotherapy modalities such as unilateral relaxation of hamstrings, erector spinae, multifidus and quadratus lumborum, and their contralateral stimulation. The patients were educated to control pelvis, to flex knee, to strike and rock the heel. RESULTS There were differences between greater trochanter-to-ankle and spina iliaca anterior superior-to-ankle measurements with average 1, 7 cm. Were found the unilateral shorten muscles. The results of the tests were negative at the end of the relative protection phase for 7 procedures. CONCLUSION The social importance of physiotherapy is not only to restore correct and optimal patients, but also to provide prevention of complications after surgically stabilized complex acetabular fractures through avoid the compensatory mechanisms as a “short leg” syndrome.