Rehabilitation After Lower Limb Fracture Fixation in Osteoporotic Bone.

Abstract

Osteoporotic fractures, particularly in the lower limbs, are a significant health burden, especially in elderly patients. With an increasing aging population globally, effective fracture fixation and rehabilitation are critical to restoring mobility and reducing complications. This study aims to review rehabilitation approaches following lower limb fracture fixation in osteoporotic bones, emphasizing the biomechanics of fracture fixation and post-surgical rehabilitation. A detailed analysis of current surgical techniques for fixing osteoporotic fractures is presented, including internal fixation strategies, the use of implants, and their biomechanical performance. In addition, rehabilitation protocols post-surgery are reviewed to highlight early mobilization strategies and their impact on recovery outcomes. The review highlights that, despite challenges posed by osteoporotic bone quality, advancements in surgical implants and fixation techniques allow for stable fracture management. Early mobilization, while previously controversial, is increasingly supported by recent evidence, showing improved functional outcomes and reduced complications, particularly in elderly patients. Early rehabilitation and weight-bearing strategies play a pivotal role in restoring function after osteoporotic fractures of the lower limbs. This review advocates for tailored rehabilitation protocols, considering patient age, fracture type, and the mechanical stability of the fixation.