PHYSIOTHERAPY MANAGEMENT IN PATIENTS IN THE EARLY POSTOPERATIVE PERIOD IN THE ORTHOPAEDIC-TRAUMALOGICAL PRACTICE

Fractures are a common trauma leading to serious functional disability and impaired quality of life. In the course of orthopedic practice, the main role of the multidisciplinary team is the rapid and reliable reconstruction of the anatomical integrity of the bone as a condition for ensuring rapid functional recovery, but the effect of psycho-emotional trauma on the rehabilitation process is often underestimated. Materials and methods. In the literature review in the period 2009 - 2024 in the scientific databases of Scopus, Elsevier, PubMed and Google Scholar, we did not find protocols for rehabilitation in the early postoperative period in patients with fractures, according to their psycho-emotional attitude to the recovery from the trauma. For this reason, we developed an algorithm for physiotherapeutic management in such patients according to the rehabilitation potential and their psychological attitude regarding their recovery. Discussion: It has been proven that the general rehabilitation protocols in the early postoperative period for trauma patients are rarely universally applicable, and referring them to the physiotherapy and rehabilitation departments, they do not always receive the optimal physical load there, according to their needs. Conclusion. We believe that our proposed algorithm would be useful for clinical physiotherapy practice in patients with orthopedic injuries in the early postoperative period and would lead to better functional results and a higher quality of life. The effectiveness of the proposed algorithm should be investigated in future research.