What Functional Exercises Are Recommended After Calf Fracture Surgery?
Aug 17, 2021
Source: Cainiu Health
Dr. Wang Guohua
Introduction
Functional exercises primarily involve active movements, supplemented by passive and active-assisted movements. Isometric contractions of the gluteal muscles, quadriceps femoris, and gastrocnemius can begin early postoperatively. If the patient is not placed in a cast, active range-of-motion exercises of the knee and ankle joints may be initiated. Early postoperative weight-bearing can progress from partial to full weight-bearing, particularly in patients treated with intramedullary nailing.
The lower leg bones—namely, the tibia and fibula—require specific postoperative rehabilitation strategies for optimal fracture healing. Patients should prioritize activities that promote bone union, with particular emphasis on strengthening the gluteal muscles, quadriceps femoris, and gastrocnemius, as well as maintaining ankle joint stability.
Functional exercises should primarily involve active movement, supplemented by passive and active-assisted movements. Early postoperatively, isometric contractions of the gluteal muscles, quadriceps femoris, and gastrocnemius can be initiated. If no cast is applied, active range-of-motion exercises for the knee and ankle joints may begin. With approval from the orthopedic surgeon, patients may progressively advance to partial- and full-weight-bearing gait training, depending on the type of internal fixation used.
In the early postoperative phase, weight-bearing status may progress gradually from partial to full weight-bearing. Generally, patients treated with intramedullary nailing may begin weight-bearing earlier, whereas those with plate fixation typically initiate weight-bearing later. Early ambulation under the guidance of a rehabilitation specialist—often using assistive devices—is recommended. Additionally, prolonged bed rest or sitting postoperatively may reduce cardiopulmonary endurance; therefore, breathing exercises and aerobic conditioning should be incorporated into the rehabilitation program. Furthermore, because patients often rely on wheelchairs and other mobility aids, upper-limb strength training is also essential.
