A broken patella breaks on your kneecap – a thin, flat bone that covers and protects your knee as a shield. It is usually caused by a direct injury such as a fall on your knee, a fall on your knee, or a collision, like and dashboard in a car accident. A fracture of the patella is a serious injury, which can affect your ability to bend or straighten your knee. Some patella fractures are simple, but this small bone can break into many pieces. However, in this following article, we will tell about the next exercises for the fractured patella.
What are the signs and symptoms of a fractured patella?
Some of the most common signs and symptoms of patella injury are as under:
- Inability to straighten your leg.
- Cant extend my leg.
- Not being able to walk.
What happens when the patella fractures or breaks?
A fracture of the patella is usually caused by a direct impact on your knee. Depending on the force used, it may cause split ends, break it into two pieces, or break many smaller pieces. Patella fractures can cause the extensor system of your knee to malfunction. The quadriceps and patellar tendon attach to your patella, which often allows you to bend and extend your knee. Cartilage can be damaged by this type of fracture, which can lead to posterior traumatic arthritis. Or suprapatellar bursitis.
What are the different types of patella fracture?
- Stable patella fracture: In stable fractures, also called “nondisplaced”, broken fractures of your bone remain in the correct position.
- Displaced patella fracture: In a dislocated fracture, your fractured bone fragments have been removed from their proper location and do not fit properly. These pieces often require surgical repair to heal and allow your knee to function properly.
- Transverse patella fracture: The opposite fracture is a fracture when your patella breaks into two pieces. Your surgeon will determine what is best for you.
- Comminuted patella fracture: In recurrent fractures, your bone is disintegrated into three or more pieces. Continued fractures may be stable or unstable.
- Open patella fracture: In an open fracture, the skin over your bone is broken. It is possible that your bone fragments themselves have penetrated your skin, or that something inside your knee has come out.
Causes that conclude to this condition:
Fractures of the patella usually occur from a direct fall on the kneecap.1 If a fracture occurs as a result of this type of direct trauma, it is often injured in the upper skin, and due to the limited number of soft tissues, this can sometimes be. open fracture.
Patella fractures may occur when the quadriceps muscles contract but the knee joint directs (“eccentric contraction”). When a muscle is pulled tight in this way, the patella can break.
There are some cases where a kneecap may break even with minor injuries. Sometimes this injury is a pathologic fracture — a fracture that occurs due to a weakened bone.
Non-surgical treatments for fractured patella include:
Braces and Casts
For many patella fractures that do not require surgery, doctors who are orthotics specialists recommend a knee cast or brace that you wear for four to six weeks. Orthotics experts make sure the support device fits you perfectly. These devices prevent the leg from the thigh to the shin, allowing the patella to heal properly.
Your doctor may schedule a follow-up visit once a week for the first two months after the injury to monitor the healing process. During this follow-up visit, the doctor may take a new X-ray of the knee to see how well the bone is recovering.
Electronic Bone Stimulation
As a broken patella begins to heal, your doctor may recommend a procedure called electronic bone stimulation.
The doctor inserts a small electrode or electrodes — flat disks — into the skin near the broken bone. This jump-up process begins the healing process by regenerating proteins in the bones to begin repairing cells in the injured area.
Physical therapy restores the range of motion in your knee. Simple weight-bearing exercises, such as lifting the leg, can help strengthen the muscles around the injured knee. Strong muscles improve mobility and also support the knee and protect it from further injury.
Your bodybuilder may recommend incorporating simple stretching and strengthening exercises into the home routine during the session. Physical therapy may continue once a week for six to eight weeks or until the patella fracture has completely healed.
Patella fractures can be painful. While the fracture is healing, the doctor may recommend pain medications to make you feel better. For some people, prescription drugs, such as acetaminophen, work well.
What exercises should I do after a fractured patella?
After a patella fracture most common complication is knee stiffness. So exercises play a major role in getting back to normal life. Patella fracture can be treated without surgery (if a fracture is nondisplaced) or with surgery (for displaced fracture fragments).
Exercises to follow:
- Straight leg raising in sitting: Sit and Keep your back straight in the chair with legs hanging at the edge. Now straighten one leg out in front of you. Hold it there for 10 seconds and then bring it down to the floor. Repeat it with another leg. Do 10 to 20 times with each leg and twice a day.
- Straight leg raising in lying down: You lie down on the mat and bend your both legs at the knee so that your both foot are on the floor. Now lift the leg you want to exercise up to 45 degrees. Hold it there for 10 seconds and then repeat with another leg. Do 10 times with each leg and two times a day.
- Static quadriceps exercises: While lying down in bed, keep your legs straight. Now as shown in the picture below put a rolled towel or pillow below your knee and press the knee into it downwards by tightening the muscles of the front of the thigh.
- Hold it there for 10 seconds and then repeat with the other legs. Do 10 times with each leg and two times a day.
- Hamstring stretching exercises: keep your leg straight on a table and lean forwards as much as possible trying to touch your toes. Aim to stretch forward from the hip rather than the shoulders. You will feel a stretch at the back of the leg. Maintain this stretch for 10-15 seconds and do it 3 times and repeat twice a day.
- After 4 weeks, start bending your knee. In the first week, bend your knee up to 30 degrees and increase the knee bending every week by 30 degrees to get full movement by 8 -10 weeks.
Exercises to be done after 4 weeks
- Knee bending (passive knee flexion/active assisted knee flexion): Sit on the edge of the bed/chair and bend your knee as much as possible. Take help of the other leg to bend your operated leg. . Hold for 5 seconds after pushing and then relax for 5 seconds. Do this 3-4 times a day for 5 minutes at a time.
- Heel slides: Sit on the bed and try to pull the heel toward the buttock with the help of a belt /scarf as shown in the picture below. Hold for 5 seconds after pulling and again straighten the leg by sliding the heel away from the buttock. Again hold the straight leg for 5 seconds. Do this 3-4 times a day for 5 minutes at a time
- Stationary bicycle riding: Start stationary bicycle 10 minutes a day between 7-14 days or when your knees flex to more than 90 degrees. Gradually increase by 2 minutes per week till 20 minutes per week. Progress in this manner: high seat ½ circles forward/backward (pendulum exercises) to full circles – lower seat. Initially start without resistance and gradually add resistance by the end of 4 weeks.
- Mini wall squat (30°): Place feet at shoulder width. Initially, you can take the support of a wall and squat up to 30 degrees. Hold for 10 seconds and then relax for 5 seconds. Do three sets of 10 repetitions.
- Heel raises: Hold for 5 seconds and slowly get down. Do it 3 times a day with 10 repetitions each time.
After 6 weeks you can start prone flexion.
- Prone flexion: Lie face down on the bed and bend your knee. You can take the help of another leg or a belt/elastic belt to bend your operated knee. . Hold for 5 seconds after pulling and again straighten the leg and relax for 5 seconds. Do this 3-4 times a day for 5 minutes at a time. After 8 weeks start advanced strengthening exercises.
- Leg press: These exercises help build your quadriceps (front of thigh muscles). You can find a leg press machine at a nearby gym. Start with minimum weight and gradually increase weight by 2-3 kg per week. Do 10 minutes a day. Once you are comfortable lifting weight you can progress to the single-leg press after 2-3 weeks.
- Leg extension: This also builds up your quadriceps (front muscles of the thigh). Start with minimum weight and gradually increase weight by 2-3 kg per week. Do 10 minutes a day.
- Elliptical cross trainer: 20-30 minutes a day: This strengthens your hamstrings, quadriceps, and calf muscles and is also a good workout for upper limb muscles.
Continue these strengthening exercises for 6 months and then you can gradually return to sports.
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