# Prehabilitation in a Periprosthetic Fracture of the Femur: A Case Report

## TL;DR

A 55-year-old man with a femur periprosthetic fracture underwent prehabilitation to improve strength and reduce pain before surgery.

## Contribution

This case report highlights the use of prehabilitation in managing periprosthetic femur fractures to enhance surgical outcomes.

## Key findings

- The patient showed improved strength and range of motion after two weeks of prehabilitation.
- Pain levels decreased as indicated by improved Visual Analogue Scale (VAS) scores.
- Functional independence improved as shown by better Lower Extremity Functional Scale (LEFS) scores.

## Abstract

Periprosthetic fractures (PPF) are related to orthopaedic implants like internal fixators, replacement devices, etc. In this case report, we discussed a 55-year-old male patient who came to our tertiary care hospital with complaints of pain and swelling over the left hip for six months. After radiological investigations, he was diagnosed with a left PPF of the femur with posterior dislocation. He was referred to the musculoskeletal physiotherapy department for in-patient rehabilitation before surgery. He received strengthening exercises for lower limb, back, and abdominal muscles, pain management, gait training, etc. for two weeks before his decided surgery date. The patient showed improved strength and maintained his range. There were an improved Visual Analogue Scale (VAS) score and a Lower Extremity Functional Scale (LEFS) score, which signified a reduction in pain and improved functional independence due to enhanced lower limb function, respectively.