Post-Operative Physiotherapy Protocol for Intertrochanteric Fracture: A Single Case Study

Intertrochanteric fractures are common among elderly individuals, especially females, often leading to reduced mobility and dependence. The objective of this case study was to evaluate the effectiveness of a structured post-operative physiotherapy program in restoring function after surgical fixation. A 48-year-old female with a right intertrochanteric fracture underwent open reduction and internal fixation (ORIF) with an intramedullary nail. Physiotherapy methods included early mobilization, cryotherapy, range of motion (ROM) exercises, isometric strengthening, positioning, and progressive weight-bearing exercises over a 4-week rehabilitation period. Results showed significant improvements in hip and knee joint mobility (e.g., hip flexion improved to 90°), pain reduction, muscle strength, and ability to perform daily activities independently. Conclusion: Early and systematic physiotherapy following open reduction and internal fixation (ORIF) greatly enhances recovery, restores mobility, and improves quality of life in patients with intertrochanteric fractures. Keywords: Intertrochanteric fracture, physiotherapy, rehabilitation, proximal femur fracture.