The role of physiotherapy in restoring gait and mobility after calcaneal osteosynthesis

Abstract

Background. Calcaneal fractures, among the most complex injuries of the foot, severely affect postural stability and locomotor function. In bilateral cases, treatment and rehabilitation are challenging, requiring surgical intervention, continuous monitoring, and individualized physiotherapy programs. Objective(s). The aim of the study is to highlight the importance of physiotherapy in restoring gait and mobility after bilateral calcaneal osteosynthesis, through individual sessions adapted to the patient. Materials and methods. The case study involved a 25-year-old male patient in postsurgical recovery following bilateral calcaneal osteosynthesis after a fall from height. The initial assessment included ankle mobility, unipedal balance and motor control. The therapy included mobilization, toning, and gait re-education sessions. Results. At the end of the recovery period, there was a significant increase in joint mobility: in the right ankle, dorsiflexion increased from 14° to 17° and plantar flexion from 16° to 37°; in the left ankle, dorsiflexion increased from 11° to 17° and plantar flexion from 16° to 31°; bilateral inversion/eversion evolved from 15°/10° to 22°/17°. The patient was also able to maintain balance in unipodal support for more than 30 seconds, resumed functional walking without support (including walking up and down stairs), and his confidence in his own motor abilities was strengthened, favoring functional reintegration. Conclusion(s). Personalized physiotherapy sessions proved highly effective in restoring joint mobility, postural control, and overall locomotor function after bilateral calcaneal osteosynthesis, facilitating daily activity resumption and complete functional reintegration.