patella dislocation with tibia fracture

[linbin]

hi
according to you what is restricting the knee ROM?
whats the end feel in flexion?
hows the tissue pliability in the thigh?

longitudinal traction within the knee in minimal flexion
if tissue pliability is less,try myofascial release technique
combine moist heat to thigh and stretching to flexion direction
mild glides if joint play is affected

[Thiri Nwe]

hello Linbin,
thanks a million for your advice. Joint limitation can be caused by scar tissue from stitches. Moreover, 2 pins are used for fracture in tibia. Now skin condition is good. May I discuss you if I have difficulties because I'm a junior physiotherapist. I need to read so many books. I also need examination to be skillful. Please share me your knowledge and experiences.
I wish you good health and great happiness.
yours sincerely, thiri

[linbin]

hi friend
if you feel that scar is limiting the knee ROM, try methods to loosen it
deep transverse friction
myofascial release
try applying moist heat before the techniques

examination and clinical skills will come with practise and critical analysing the literature and integrating good ones into practise.you will definitely gain it.the moment you joined this community you are destined to achieve it
good luck
keep posting