Introduction:

Many of the high impact injuries caused by traffic accidents produce compound fractures in the lower limbs, with soft tissue exposure. We are presenting the clinical case, diagnosed with chronic osteomyelitis of the left tibia, post-operated fasciocutaneous flap of the internal calf and skin graft in the calf.

Case Description:

A 27-year-old male patient is admitted to the Plastic Surgery Unit of the Hospital de Clínicas for 45 days, receives 16 sessions of kinesthetic treatment, from the pre, post-surgical and hospital discharge stage. In the pre-surgical evaluation, an open wound is observed in the area of the left leg covered by dressings and aspiration system and vacuum compaction, scars attached to the knee, limitation of ankle mobility and knee sequelae of previous injuries and interventions, is undergoing reconstructive surgery at the level of the leg. The kinesic objectives proposed were: educate the patient and his family about graft care and healing, improve joint mobility, flexibility, muscular strength and reduce muscle shortening, making the attached scars more flexible.

Discussion:

High-energy trauma in the lower limbs is often associated with soft-tissue defects and its reconstruction can be a challenging task. Physical rehabilitation from immediate post-surgical care to discharge has restored the patient's maximum functional independence in a short period of time after a long period of hospitalization.

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