Physiotherapy Outcomes in Chronic Femoral Osteomyelitis Following Reconstructive ORIF: A Case Report

Arum Cahyaningsih; Arif Pristianto; Prihantoro Larasati

doi:10.24843/

Authors

Arum Cahyaningsih Department of Physiotherapy, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Indonesia Author
Arif Pristianto Department of Physiotherapy, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Indonesia Author
Prihantoro Larasati Department of Physical Medicine and Rehabilitation, Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia Author

DOI:

https://doi.org/10.24843/

Keywords:

Osteomyelitis, Femur, Open Reduction and Internal Fixation, Physical Therapy Modalities, Range of Motion

Abstract

Background: Chronic femoral osteomyelitis following Open Reduction and Internal Fixation (ORIF) is associated with prolonged immobilisation and persistent functional impairment. Evidence regarding physiotherapy during periods of active chronic infection remains limited.
Objective: To describe the effects of a structured physiotherapy program on joint mobility, muscle strength, and lower extremity function in a patient with chronic femoral osteomyelitis after reconstructive ORIF.
Methods: This CARE-compliant case report involved a 26-year-old female with chronic left femoral osteomyelitis. The patient received a three-week physiotherapy program consisting of Transcutaneous Electrical Nerve Stimulation, knee range-of-motion exercises, resistance-band strengthening, and stretching. Outcomes included knee range of motion, Manual Muscle Testing, and the Lower Extremity Functional Scale (LEFS). Data were analysed descriptively.
Results: Active and passive knee flexion increased by 7° each. Quadriceps and hamstring muscle strength improved from grades 3+ and 3− to grade 4−. The LEFS score increased from 60 to 67. No adverse events were observed.
Conclusion: Structured physiotherapy may be safely implemented and contribute to functional improvement in patients with chronic femoral osteomyelitis following reconstructive ORIF.