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Patella Fracture

The fracture of the patella is almost always followed by a large effusion and pain; so the first stage of the treatment is focused on controlling the swelling through physical therapy and massage therapy; the recovery of the full range of motion will start early on, paying attention to joint limits imposed by any synthetic means, so the rom must be very small. In this period it is very useful the pool therapy to reduce the load applied on the limb and not overstress the injured part. After the first month, if the fracture already shows signs of a good consolidation can begin the muscle trophism recovery work on the quadriceps, hip flexors, hip muscles, pelvis and the core first in isometric mode, then in closed isotonic kinetic chain and then open avoiding the range that could trigger pain.

At consolidated fracture there are no great limits in the patellar functionality so after about 2 months you can start isokinetic strengthening preparation for the test, perform proprioceptive exercises and balance.

If all the traffic lights are green, the athlete can start on field sessions and recover of sport specific gesture, bearing in mind that education for the return to play will be long and difficult, because the stance phase (eccentric) is a moment of great concern for the patient, because the patella is subjected to a considerable stress. If all goes regularly return to competition can take place after around 4 months.

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