Multiple Orthopedic Injuries After Fall from Height: Home Rehabilitation Case Study | AtHomeCare<\/title>\n <meta name=\"description\" content=\"Clinical case study of a 38-year-old construction supervisor with pelvic fracture, L2 compression fracture, and distal radius fracture managed through structured home healthcare rehabilitation over 12 weeks.\">\n <link rel=\"canonical\" href=\"https:\/\/athomecare.in\/case-study-multiple-orthopedic-injuries-home-rehabilitation\">\n <meta name=\"robots\" content=\"index, follow\">\n <link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\n <link rel=\"preconnect\" href=\"https:\/\/fonts.gstatic.com\" crossorigin>\n <link href=\"https:\/\/fonts.googleapis.com\/css2?family=Inter:wght@300;400;500;600;700&family=Merriweather:wght@400;700&display=swap\" rel=\"stylesheet\">\n <style>\n *, *::before, *::after { box-sizing: border-box; margin: 0; padding: 0; }\n\n :root {\n --bg: #F8F9FA;\n --bg-white: #FFFFFF;\n --bg-light-blue: #EDF4FC;\n 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grid-template-columns: 1fr 1fr; }\n .card { padding: 18px; }\n .risk-grid, .equip-grid { grid-template-columns: 1fr; }\n .outcome-grid { grid-template-columns: 1fr; }\n .author-details-grid { grid-template-columns: 1fr; }\n .timeline { padding-left: 28px; }\n .timeline-dot { left: -28px; width: 20px; height: 20px; }\n .main-content { padding: 28px 16px 48px; }\n table { font-size: 13px; }\n th, td { padding: 10px 10px; }\n }\n <\/style>\n\n <script type=\"application\/ld+json\">\n {\n \"@context\": \"https:\/\/schema.org\",\n \"@type\": \"MedicalWebPage\",\n \"name\": \"Multiple Orthopedic Injuries After Fall from Height: Home Rehabilitation Case Study\",\n \"description\": \"Clinical case study of a 38-year-old patient with pelvic fracture, L2 compression fracture, and distal radius fracture managed through structured home healthcare over 12 weeks.\",\n \"about\": {\n \"@type\": \"MedicalCondition\",\n \"name\": \"Multiple Orthopedic Injuries Following Fall from Height\"\n },\n \"author\": {\n \"@type\": \"Physician\",\n \"name\": \"Dr. Ekta Fageriya\",\n \"credential\": \"MBBS\",\n \"medicalSpecialty\": \"Geriatric Medicine\"\n },\n \"publisher\": {\n \"@type\": \"Organization\",\n \"name\": \"AtHomeCare\"\n }\n }\n <\/script>\n<\/head>\n<body>\n\n \n <header class=\"hero\">\n <div class=\"container\">\n <span class=\"hero-badge\">Clinical Case Study<\/span>\n <h1>Multiple Orthopedic Injuries After a Fall from Height: How Structured Home Rehabilitation Restored Mobility and Independence<\/h1>\n <p class=\"hero-summary\">A 38-year-old construction site supervisor in Mohali sustained a pelvic fracture, stable L2 compression fracture, and a displaced left distal radius fracture. After 17 days of hospital treatment including surgery, he was discharged with significant functional limitations. This case study documents his 12-week recovery through professional home healthcare.<\/p>\n <div class=\"hero-grid\">\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Patient Age<\/div>\n <div class=\"hero-stat-value\">38 Years, Male<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Location<\/div>\n <div class=\"hero-stat-value\">Mohali, Punjab<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Primary Condition<\/div>\n <div class=\"hero-stat-value\">Multiple Orthopedic Fractures<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Duration of Care<\/div>\n <div class=\"hero-stat-value\">12 Weeks<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Hospital Stay<\/div>\n <div class=\"hero-stat-value\">17 Days<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Final Outcome<\/div>\n <div class=\"hero-stat-value\">Returned to Office Duties<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/header>\n\n \n <main class=\"main-content\">\n <div class=\"container-narrow\">\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Patient Background<\/h2>\n <p>Mr. Gurkirat Brar, a 38-year-old male, worked as a site civil supervisor at a construction project in Mohali, Punjab. His job involved walking across uneven surfaces, climbing scaffolding, and supervising labour at various heights. He was married and lived with his wife, aged 35, and his father, aged 64.<\/p>\n <p>Before the injury, Mr. Brar was physically active and had no known chronic medical conditions. He had no history of previous fractures, spinal problems, or musculoskeletal disorders. There was no documented history of smoking, alcohol use, or metabolic bone disease. His baseline functional status was fully independent in all activities of daily living.<\/p>\n <p>His wife took on the role of primary caregiver after the injury. His father, despite being 64 years old, served as the secondary caregiver. The family had no prior experience managing orthopedic injuries or post-surgical care at home. They lived in a standard apartment with basic furnishings, which would later require modifications to support safe mobility during recovery.<\/p>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Clinical Context<\/span>\n <\/div>\n <p>Construction workers in India face a disproportionately high risk of fall-from-height injuries. According to occupational health data, falls from scaffolding remain one of the leading causes of multiple orthopedic trauma in the building sector. Younger patients like Mr. Brar typically have good bone health and healing potential, but the combination of spinal, pelvic, and upper-limb injuries creates a complex rehabilitation challenge that requires coordinated care.<\/p>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Clinical Diagnosis<\/h2>\n <p>Mr. Brar fell approximately 12 feet from scaffolding while supervising construction work. He landed on his left side and lower back. Following the fall, he experienced severe lower back pain, pelvic pain, and pain in the left wrist. He was unable to bear weight on his lower limbs.<\/p>\n\n <h3 class=\"subsection-heading\">Injuries Identified<\/h3>\n <div class=\"card\">\n <ul class=\"card-list\">\n <li><strong>Stable pelvic ring fracture:<\/strong> The pelvic bones were fractured but the ring structure remained mechanically stable, meaning the fracture did not require surgical fixation and could heal with conservative management.<\/li>\n <li><strong>Stable L2 vertebral compression fracture:<\/strong> The second lumbar vertebra had a compression fracture. Critically, there was no spinal cord involvement, no nerve compression, and no neurological deficit. This classification as “stable” meant the fracture could be managed with a lumbar brace rather than surgery.<\/li>\n <li><strong>Displaced left distal radius fracture:<\/strong> The wrist bone near the wrist joint was broken and the fragments were out of alignment. This required surgical correction through Open Reduction and Internal Fixation (ORIF) to restore the anatomy and allow proper hand function.<\/li>\n <\/ul>\n <\/div>\n\n <h3 class=\"subsection-heading\">Associated Medical Conditions<\/h3>\n <div class=\"card card-amber\">\n <div class=\"card-label card-label-amber\">\n <svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M1 21h22L12 2 1 21zm12-3h-2v-2h2v2zm0-4h-2v-4h2v4z\"\/><\/svg>\n Conditions Documented at Discharge\n <\/div>\n <ul class=\"card-list\">\n <li>Acute post-traumatic pain in the lower back, pelvis, and left wrist<\/li>\n <li>Lumbar muscle spasm around the L2 vertebra<\/li>\n <li>Mild post-operative anemia, likely related to blood loss during surgery<\/li>\n <li>Reduced muscle strength in both lower limbs due to pain and immobility<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"clinical-note\">\n <strong>Important Negative Findings:<\/strong> No spinal cord injury was present. There was no bowel or bladder dysfunction, which would have suggested nerve damage. No traumatic brain injury was documented. The absence of these complications significantly shaped the rehabilitation plan, as it meant the patient had the potential for full functional recovery with appropriate care.\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Hospital Treatment<\/h2>\n <p>Mr. Brar was taken to the hospital emergency department immediately after the fall. A comprehensive trauma evaluation was performed. This included a physical examination, X-rays of the pelvis, lumbar spine, and left wrist, along with a CT scan to further define the fracture patterns and rule out internal injuries.<\/p>\n <p>He remained in the hospital for 17 days. During this period, the following interventions were carried out:<\/p>\n\n <div class=\"card card-blue\">\n <div class=\"card-label card-label-blue\">Hospital Course and Interventions<\/div>\n <ul class=\"card-list\">\n <li><strong>Emergency trauma evaluation:<\/strong> Systematic assessment using ATLS principles to identify all injuries and rule out life-threatening conditions such as internal bleeding or organ damage.<\/li>\n <li><strong>Open Reduction and Internal Fixation (ORIF) of the left distal radius:<\/strong> Surgery was performed to realign the broken wrist bone fragments and secure them with plates and screws. This procedure was necessary because the fracture was displaced, meaning the bone ends were not in proper position for natural healing.<\/li>\n <li><strong>Conservative management of the pelvic fracture:<\/strong> Since the pelvic ring was stable, surgery was not required. The fracture was managed with rest, pain control, and gradual mobilization as tolerated.<\/li>\n <li><strong>Lumbar brace application:<\/strong> A custom lumbar support brace was fitted to restrict excessive movement of the L2 vertebra during the healing phase and to provide external stability to the spine.<\/li>\n <li><strong>Pain management:<\/strong> A combination of oral analgesics was prescribed to control acute pain and allow the patient to participate in early mobilization.<\/li>\n <li><strong>Deep Vein Thrombosis (DVT) prophylaxis:<\/strong> Blood-thinning medication was administered to reduce the risk of blood clots in the legs, a well-documented complication of prolonged immobility after trauma and orthopedic surgery.<\/li>\n <li><strong>Physiotherapy assessment:<\/strong> An in-hospital physiotherapy evaluation was conducted to establish baseline mobility, identify functional limitations, and create a preliminary rehabilitation plan.<\/li>\n <li><strong>Occupational therapy consultation:<\/strong> The occupational therapy team assessed the patient’s ability to perform daily activities and provided guidance on adaptive techniques for the recovery period.<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Why the Pelvic and Spinal Fractures Were Managed Without Surgery<\/span>\n <\/div>\n <p>Not all fractures require surgical fixation. The decision to manage the pelvic and L2 fractures conservatively was based on their “stable” classification. A stable fracture means the bone fragments are not likely to shift further if the area is protected. Surgical fixation carries its own risks, including infection, bleeding, and prolonged anesthesia. When the fracture pattern allows, conservative management with bracing and gradual mobilization is the clinically preferred approach because it avoids additional surgical trauma while achieving the same healing outcome.<\/p>\n <\/div>\n\n <p>At discharge, Mr. Brar was clinically stable. His surgical wound was healing. Pain was controlled with oral medication. He was advised supervised home rehabilitation with regular orthopedic follow-up visits.<\/p>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Condition After Discharge<\/h2>\n <p>Despite being medically stable, Mr. Brar’s functional status at the time of discharge was significantly limited. The transition from hospital to home is often a vulnerable period for trauma patients, and his situation illustrated this clearly.<\/p>\n\n <h3 class=\"subsection-heading\">Symptoms at Discharge<\/h3>\n <div class=\"card card-red\">\n <div class=\"card-label card-label-red\">\n <svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-2 15l-5-5 1.41-1.41L10 14.17l7.59-7.59L19 8l-9 9z\"\/><\/svg>\n Functional Limitations Documented\n <\/div>\n <ul class=\"card-list\">\n <li>Severe lower back pain during any movement<\/li>\n <li>Difficulty standing for more than a few minutes at a time<\/li>\n <li>Pain while sitting for extended durations<\/li>\n <li>Noticeable weakness in both lower limbs<\/li>\n <li>Reduced balance, creating a high risk of falls<\/li>\n <li>Limited use of the left wrist due to post-surgical stiffness and pain<\/li>\n <li>Difficulty performing basic household activities<\/li>\n <\/ul>\n <\/div>\n\n <h3 class=\"subsection-heading\">Functional Assessment<\/h3>\n <div class=\"table-wrapper\">\n <table>\n <thead>\n <tr>\n <th>Activity Level<\/th>\n <th>Activities<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td><strong>Dependent<\/strong><\/td>\n <td>Outdoor mobility, household cleaning, driving, carrying heavy objects<\/td>\n <\/tr>\n <tr>\n <td><strong>Required Assistance<\/strong><\/td>\n <td>Bathing, dressing (lower body), meal preparation, hospital follow-up visits<\/td>\n <\/tr>\n <tr>\n <td><strong>Independent<\/strong><\/td>\n <td>Feeding, communication, personal decision-making<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n\n <p>He could walk only short distances using a walker and required supervision during all transfers from bed to chair and back. He could climb stairs only with another person assisting him and with handrail support. This level of dependency in a previously independent 38-year-old created significant practical and emotional challenges for the entire family.<\/p>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Why Home Healthcare Was Needed<\/h2>\n <p>The treating team recommended professional <a href=\"https:\/\/athomecare.in\/home-nursing-athomecare\/\">home nursing<\/a> and <a href=\"https:\/\/athomecare.in\/physiotherapy-at-home-gurgaon-expert-care-call-9910823218\/\">physiotherapy at home<\/a> for several clinically sound reasons.<\/p>\n\n <p>Mr. Brar had three simultaneous fractures affecting different body regions. Each fracture had its own healing timeline and rehabilitation requirements. The pelvic fracture needed protected weight-bearing and pain management. The lumbar fracture needed strict spinal precautions and core stabilization. The wrist fracture needed surgical wound care and gradual range-of-motion recovery. Managing all three simultaneously in an unsupervised home setting would have been unsafe.<\/p>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Why Not Continue in the Hospital?<\/span>\n <\/div>\n <p>By day 17, Mr. Brar was medically stable. His surgical wound showed no signs of infection. His pain was manageable with oral medication. Prolonged hospital stays beyond medical necessity are associated with increased risks of hospital-acquired infections, deconditioning, and psychological distress. The clinical question was not whether he needed to stay in the hospital, but how to safely transfer his ongoing rehabilitation needs to the home setting. This is precisely where <a href=\"https:\/\/athomecare.in\/post-hospital-recovery-at-home-faridabad\/\">post-hospital recovery at home<\/a> becomes the appropriate standard of care.<\/p>\n <\/div>\n\n <p>The family had no training in wound care, spinal precautions, or safe transfer techniques. His wife, the primary caregiver, needed practical support. His father, at 64, was not physically equipped to assist with transfers. Without professional home support, the risk of a second fall, wound infection, or delayed fracture healing would have been unacceptably high.<\/p>\n\n <p>Families in Mohali and the broader Delhi NCR region, including those in <a href=\"https:\/\/athomecare.in\/home-care-services-in-gurgaon\/\">Maholi and Gurgaon<\/a>, increasingly face this exact situation: a loved one is discharged from the hospital but still needs clinical supervision that the family cannot safely provide on their own. <a href=\"https:\/\/athomecare.in\/why-choose-home-care-the-benefits-of-in-home-support-by-athomecare\/\">Professional home healthcare<\/a> bridges this gap by bringing trained nurses, physiotherapists, and attendants into the patient’s home.<\/p>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Home Care Plan by AtHomeCare<\/h2>\n <p>A structured, multi-disciplinary home care plan was designed based on the hospital discharge summary, the physiotherapy assessment, and the family’s living situation. The plan addressed wound care, pain management, mobility rehabilitation, and caregiver support.<\/p>\n\n \n <h3 class=\"subsection-heading\">Home Nursing (Three Visits Per Week)<\/h3>\n <div class=\"card card-blue\">\n <div class=\"card-label card-label-blue\">\n <svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M19 3H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2zm-7 9h-2V7h-2v5H6v2h2v5h2v-5h2v5h2v-5h2v-2h-2V7h-2v5z\"\/><\/svg>\n Nursing Interventions\n <\/div>\n <p style=\"font-size:14px;color:var(--text-secondary);margin-bottom:10px;\">A registered nurse visited three times per week to perform the following clinical tasks:<\/p>\n <ul class=\"card-list\">\n <li><strong>Vital signs monitoring:<\/strong> Blood pressure, heart rate, temperature, and oxygen saturation were checked at each visit to detect early signs of infection or other complications.<\/li>\n <li><strong>Surgical wound assessment:<\/strong> The ORIF wound on the left wrist was inspected for signs of infection including redness, swelling, warmth, discharge, or wound dehiscence.<\/li>\n <li><strong>Dressing changes:<\/strong> Sterile dressing changes were performed as per the surgical team’s protocol until the wound was sufficiently healed.<\/li>\n <li><strong>Pain assessment:<\/strong> Pain levels were documented using a standardized scale. The nurse tracked whether pain was improving, stable, or worsening, and communicated findings to the treating doctor.<\/li>\n <li><strong>Medication review:<\/strong> The nurse verified that the patient was taking prescribed medications correctly, including analgesics, DVT prophylaxis, and any supplements for bone healing.<\/li>\n <li><strong>Monitoring for pressure injuries:<\/strong> Because the patient spent significant time in bed and in a hospital bed at home, skin integrity checks were performed to prevent pressure sores, a concern addressed in detail in <a href=\"https:\/\/athomecare.in\/pressure-ulcer-prevention-guide-for-elderly-home-care-in-gurgaon\/\">pressure ulcer prevention guidelines<\/a>.<\/li>\n <li><strong>Education regarding spinal precautions:<\/strong> The nurse reinforced proper body mechanics, the importance of wearing the lumbar brace, and movements to avoid during the healing phase.<\/li>\n <\/ul>\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Physiotherapy (Five Sessions Weekly)<\/h3>\n <div class=\"card card-green\">\n <div class=\"card-label card-label-green\">\n <svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M13.49 5.48c1.1 0 2-.9 2-2s-.9-2-2-2-2 .9-2 2 .9 2 2 2zm-3.6 13.9l1-4.4 2.1 2v6h2v-7.5l-2.1-2 .6-3c1.3 1.5 3.3 2.5 5.5 2.5v-2c-1.9 0-3.5-1-4.3-2.4l-1-1.6c-.4-.6-1-1-1.7-1-.3 0-.5.1-.8.1l-5.2 2.2v4.7h2v-3.4l1.8-.7-1.6 8.1-4.9-1-.4 2 7 1.4z\"\/><\/svg>\n Rehabilitation Focus Areas\n <\/div>\n <p style=\"font-size:14px;color:var(--text-secondary);margin-bottom:10px;\">Five physiotherapy sessions per week were prescribed. This high frequency was necessary because the patient had multiple injury sites requiring simultaneous attention. The <a href=\"https:\/\/athomecare.in\/customized-rehabilitation-and-strength-building-exercise-programs-a-pathway-to-recovery\/\">customized rehabilitation program<\/a> included:<\/p>\n <ul class=\"card-list\">\n <li><strong>Core stabilization exercises:<\/strong> Gentle exercises targeting the abdominal and back muscles were introduced progressively. A strong core provides internal support to the lumbar spine, reducing the load on the healing L2 vertebra. These exercises are a cornerstone of <a href=\"https:\/\/athomecare.in\/physiotherapy-at-home-gurgaon-expert-care-call-9910823218\/\">home-based physiotherapy<\/a> for spinal fractures.<\/li>\n <li><strong>Progressive gait training:<\/strong> Walking was gradually increased in distance and complexity. The patient started with the walker, progressed to a walking stick, and worked on normalized gait pattern without assistive devices.<\/li>\n <li><strong>Pelvic strengthening:<\/strong> Exercises targeting the hip girdle and pelvic floor muscles were included to support the healing pelvic fracture and improve weight-bearing tolerance.<\/li>\n <li><strong>Lower limb strengthening:<\/strong> Quadriceps, hamstrings, gluteal, and calf muscles were strengthened to address the documented weakness and improve the patient’s ability to stand, walk, and climb stairs.<\/li>\n <li><strong>Wrist range-of-motion exercises:<\/strong> After the surgical wound healed sufficiently, gentle wrist and finger exercises were started to prevent stiffness and restore the range of motion needed for daily tasks.<\/li>\n <li><strong>Balance training:<\/strong> Static and dynamic balance exercises were introduced to reduce the documented fall risk. This is particularly important for patients with lower limb weakness and spinal injuries, as discussed in <a href=\"https:\/\/athomecare.in\/comprehensive-guide-to-fall-prevention-protecting-your-loved-ones\/\">fall prevention guidelines<\/a>.<\/li>\n <li><strong>Transfer training:<\/strong> The physiotherapist taught the patient safe techniques for moving from bed to chair, chair to standing, and on and off the toilet. Proper transfer technique protects both the fractures and the caregiver.<\/li>\n <li><strong>Functional mobility exercises:<\/strong> Task-specific exercises simulating real-life activities such as picking objects from the floor, reaching overhead, and navigating tight spaces were incorporated as the patient progressed.<\/li>\n <\/ul>\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Patient Attendant (12-Hour Daily Assistance)<\/h3>\n <div class=\"card\">\n <div class=\"card-label card-label-blue\">Caregiver Support<\/div>\n <p style=\"font-size:14px;color:var(--text-secondary);margin-bottom:10px;\">A trained <a href=\"https:\/\/athomecare.in\/patient-care-taker-gda\/\">patient care attendant<\/a> was provided for 12 hours each day. This was essential because the patient’s wife and father could not safely manage all his physical needs alone. The attendant provided:<\/p>\n <ul class=\"card-list\">\n <li>Assistance with personal hygiene including bathing while maintaining spinal precautions<\/li>\n <li>Support during all transfers, ensuring the lumbar brace was worn correctly<\/li>\n <li>Walking assistance using the walker, providing steady support and preventing falls<\/li>\n <li>Meal assistance, including help with food preparation and serving<\/li>\n <li>Medication reminders to ensure prescribed drugs were taken on time<\/li>\n <li>Supervision of home exercises as directed by the physiotherapist<\/li>\n <li>Escorting the patient to hospital follow-up appointments, managing logistics of travel with a mobility-impaired person<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Why a 12-Hour Attendant Was Clinically Necessary<\/span>\n <\/div>\n <p>With three active fracture sites, Mr. Brar needed physical assistance for nearly every activity during the early recovery phase. The risk of attempting to move independently was a fall that could displace the healing pelvic fracture or worsen the spinal injury. A <a href=\"https:\/\/athomecare.in\/patient-care-services-gurgaon\/\">trained patient care attendant<\/a> provides a level of physical support and safety awareness that family members, despite their best intentions, typically cannot match. The 12-hour coverage during daytime addressed the period of highest activity, while family members managed nighttime needs with guidance from the nursing team.<\/p>\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Medical Equipment Provided at Home<\/h3>\n <div class=\"equip-grid\">\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Walker\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Lumbar Support Brace\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Wrist Splint\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Hospital Bed\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Raised Toilet Seat\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n BP Monitor\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Shower Chair\n <\/div>\n <\/div>\n <p style=\"font-size:14px;color:var(--text-muted);margin-top:8px;\">All equipment was arranged through <a href=\"https:\/\/athomecare.in\/home-care-gurgaon\/medical-equipment-rental\/\">medical equipment rental services<\/a>, reducing the financial burden on the family while ensuring clinical-grade support at home.<\/p>\n\n \n <h3 class=\"subsection-heading\">Risks Actively Monitored<\/h3>\n <div class=\"risk-grid\">\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Delayed fracture healing<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Falls<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Surgical site infection<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Deep vein thrombosis (DVT)<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Chronic lower back pain<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Joint stiffness<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Reduced mobility<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Hospital readmission<\/div>\n <\/div>\n\n <div class=\"clinical-note\" style=\"margin-top:16px;\">\n <strong>Why DVT Monitoring Was Critical:<\/strong> After trauma and orthopedic surgery, the risk of blood clots in the deep veins of the legs is significantly elevated. DVT can lead to a life-threatening pulmonary embolism if a clot travels to the lungs. The nursing team monitored for calf swelling, pain, warmth, and redness at each visit. <a href=\"https:\/\/athomecare.in\/preventing-deep-vein-thrombosis-at-home-the-benefits-of-athomecares-dvt-pump-in-delhi\/\" style=\"color:#92400E;text-decoration:underline;\">DVT prevention at home<\/a> is a standard component of post-orthopedic care and was continued as prescribed until the patient regained sufficient mobility.\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Rehabilitation Goals<\/h3>\n <div class=\"goal-row\">\n <div class=\"goal-card goal-short\">\n <h4>Short-Term Goals (Weeks 1 to 4)<\/h4>\n <ul>\n <li>Reduce pain to a manageable level<\/li>\n <li>Improve sitting tolerance from baseline<\/li>\n <li>Increase walking distance safely<\/li>\n <li>Restore basic wrist movement<\/li>\n <li>Improve transfer ability with less assistance<\/li>\n <\/ul>\n <\/div>\n <div class=\"goal-card goal-long\">\n <h4>Long-Term Goals (Weeks 5 to 12)<\/h4>\n <ul>\n <li>Achieve independent walking without walker<\/li>\n <li>Restore functional use of the left upper limb<\/li>\n <li>Return to work with activity modification<\/li>\n <li>Improve spinal stability through core strength<\/li>\n <li>Maintain long-term functional independence<\/li>\n <\/ul>\n <\/div>\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Family Education<\/h3>\n <div class=\"card card-purple\">\n <div class=\"card-label card-label-purple\">Education Provided to the Family<\/div>\n <ul class=\"card-list\">\n <li>Safe spinal movement techniques to avoid stressing the L2 vertebra during daily activities<\/li>\n <li>Proper use and fitting of the lumbar brace and walker to ensure they provided the intended support<\/li>\n <li><a href=\"https:\/\/athomecare.in\/personalized-wound-care-and-infection-prevention-for-optimal-healing\/\">Surgical wound care<\/a> principles including signs of infection to watch for between nurse visits<\/li>\n <li><a href=\"https:\/\/athomecare.in\/safety-first-home-modifications-and-fall-prevention-for-gurgaons-seniors\/\">Fall prevention<\/a> strategies specific to their home environment, including removing loose rugs, ensuring adequate lighting, and keeping pathways clear<\/li>\n <li>The importance of attending all prescribed physiotherapy sessions and not skipping exercises<\/li>\n <li>Nutrition guidance emphasizing adequate calcium and protein intake to support bone healing<\/li>\n <li>Recognizing warning signs that require immediate medical attention: increasing back pain, new numbness or weakness in the legs, fever, wound discharge, or leg swelling<\/li>\n <\/ul>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Recovery Timeline<\/h2>\n\n <div class=\"timeline\">\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Day 1: Transition Home<\/div>\n <div class=\"timeline-content\">\n <p>The home care team arrived before the patient’s discharge to set up the hospital bed, walker, raised toilet seat, and shower chair. The patient attendant was briefed on the care plan. When Mr. Brar arrived home, the nurse conducted an initial assessment including vital signs, wound inspection, and pain scoring.<\/p>\n <p>He was in significant pain, could not sit for more than a few minutes, and required maximum assistance for all transfers. The lumbar brace was fitted and its use was reinforced.<\/p>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <span class=\"timeline-tag tag-family\">Family Briefing<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Day 3: First Physiotherapy Session<\/div>\n <div class=\"timeline-content\">\n <p>The physiotherapist conducted a detailed baseline assessment of range of motion, muscle strength, balance, and functional mobility. Very gentle core activation exercises were introduced while the patient lay in bed. Wrist exercises were limited to finger movements only, as the surgical wound was still fresh.<\/p>\n <p>The patient could walk approximately 10 metres with the walker with maximum assistance. Pain was scored at 7 out of 10 during movement.<\/p>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Week 1: Establishing the Routine<\/div>\n <div class=\"timeline-content\">\n <p>The daily routine stabilized. The attendant assisted with morning hygiene and breakfast. Physiotherapy sessions focused on bed-based core exercises, gentle lower limb movements, and assisted sitting at the edge of the bed. Walking distance increased to approximately 15 to 20 metres per session.<\/p>\n <p>The nurse noted the surgical wound was clean and dry with no signs of infection. Pain medication was being taken as prescribed. The family reported that the patient was more comfortable with the routine but frustrated by his dependence.<\/p>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-family\">Family Observation<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Week 2: Early Progress<\/div>\n <div class=\"timeline-content\">\n <p>Sitting tolerance improved to approximately 25 minutes. The physiotherapist introduced standing exercises with support and began transfer training from bed to chair. Core exercises progressed from lying down to sitting position.<\/p>\n <p>Walking distance reached approximately 25 metres with the walker and supervision. The patient could perform basic finger and thumb movements on the left hand. The first orthopedic follow-up visit was completed, with imaging showing fracture alignment was maintained.<\/p>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-doctor\">Doctor Review<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Week 4: Noticeable Functional Improvement<\/div>\n <div class=\"timeline-content\">\n <p>By the end of the first month, the patient could sit for approximately 40 minutes without severe discomfort. Walking distance with the walker had increased to approximately 100 metres. He began stepping up and down with support as a precursor to stair climbing.<\/p>\n <p>Wrist mobility improved significantly. Grip strength exercises were introduced using a soft ball. The patient could now assist with feeding using the left hand and perform light upper-body tasks. Pain during movement had reduced from 7 to approximately 4 out of 10. The nurse discontinued routine wound dressings as the surgical site had fully closed. DVT prophylaxis was reviewed and adjusted based on the doctor’s assessment of mobility improvement.<\/p>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-doctor\">Doctor Review<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Month 2: Transitioning to Greater Independence<\/div>\n <div class=\"timeline-content\">\n <p>Core stabilization exercises became more dynamic. The patient could perform exercises in standing position with support. Walking progressed from the walker to a walking stick for shorter distances. Balance training included single-leg standing with support and weight-shifting exercises.<\/p>\n <p>Wrist mobility improved significantly. Grip strength exercises were introduced using a soft ball. The patient could now assist with feeding using the left hand and perform light upper-body tasks. Stair climbing was practiced with the walking stick and handrail, progressing from assisted to supervised.<\/p>\n <p>The attendant’s hours were gradually reduced as the patient’s independence increased. The family was educated on how to supervise exercises and assist only when needed.<\/p>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <span class=\"timeline-tag tag-family\">Family Education<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot timeline-dot-green\"><\/div>\n <div class=\"timeline-label\">Month 3 (Week 12): Recovery Milestone<\/div>\n <div class=\"timeline-content\">\n <p>Follow-up imaging confirmed satisfactory healing of both the pelvic and wrist fractures. The L2 compression fracture showed signs of consolidation. The treating orthopedic surgeon cleared the patient for progressive return to activities.<\/p>\n <p>Walking endurance had improved from approximately 25 metres with a walker to nearly 450 metres using a walking stick with minimal supervision. Lower back pain had reduced significantly through structured core strengthening. Left wrist mobility and grip strength allowed independent self-care and light household tasks. Sitting tolerance increased from 15 minutes to nearly 90 minutes.<\/p>\n <p>The patient returned to office-based supervisory duties with temporary restrictions on heavy physical activity. No falls, neurological complications, surgical site infections, or hospital readmissions occurred during the entire 12-week home healthcare period.<\/p>\n <span class=\"timeline-tag tag-doctor\">Doctor Review<\/span>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Clinical Progress Documentation<\/h2>\n\n <h3 class=\"subsection-heading\">Mobility Progression<\/h3>\n <div class=\"table-wrapper\">\n <table>\n <thead>\n <tr>\n <th>Parameter<\/th>\n <th>At Discharge<\/th>\n <th>Week 4<\/th>\n <th>Week 12<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Walking Device<\/td>\n <td>Walker (maximum assistance)<\/td>\n <td>Walker (supervision)<\/td>\n <td>Walking stick (minimal supervision)<\/td>\n <\/tr>\n <tr>\n <td>Walking Distance<\/td>\n <td>Approx. 10-25 metres<\/td>\n <td>Approx. 100 metres<\/td>\n <td>Nearly 450 metres<\/td>\n <\/tr>\n <tr>\n <td>Sitting Tolerance<\/td>\n <td>Approx. 15 minutes<\/td>\n <td>Approx. 40 minutes<\/td>\n <td>Nearly 90 minutes<\/td>\n <\/tr>\n <tr>\n <td>Stair Climbing<\/td>\n <td>Assistance + handrail<\/td>\n <td>Supervised with handrail<\/td>\n <td>Walking stick + handrail<\/td>\n <\/tr>\n <tr>\n <td>Transfer Ability<\/td>\n <td>Maximum assistance<\/td>\n <td>Minimal assistance<\/td>\n <td>Supervision only<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n\n <h3 class=\"subsection-heading\">Pain Progression<\/h3>\n <div class=\"table-wrapper\">\n <table>\n <thead>\n <tr>\n <th>Pain Site<\/th>\n <th>At Discharge<\/th>\n <th>Week 4<\/th>\n <th>Week 12<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Lower Back<\/td>\n <td>Severe during movement<\/td>\n <td>Moderate, improving<\/td>\n <td>Significantly reduced<\/td>\n <\/tr>\n <tr>\n <td>Pelvis<\/td>\n <td>Severe on weight-bearing<\/td>\n <td>Moderate on weight-bearing<\/td>\n <td>Mild, tolerable<\/td>\n <\/tr>\n <tr>\n <td>Left Wrist<\/td>\n <td>Moderate to severe<\/td>\n <td>Mild to moderate<\/td>\n <td>Mild<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n\n <h3 class=\"subsection-heading\">Functional Status Progression<\/h3>\n <div class=\"table-wrapper\">\n <table>\n <thead>\n <tr>\n <th>Activity<\/th>\n <th>At Discharge<\/th>\n <th>Week 12<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Feeding<\/td>\n <td>Independent<\/td>\n <td>Independent<\/td>\n <\/tr>\n <tr>\n <td>Bathing<\/td>\n <td>Required assistance<\/td>\n <td>Independent (with shower chair)<\/td>\n <\/tr>\n <tr>\n <td>Dressing (lower body)<\/td>\n <td>Required assistance<\/td>\n <td>Independent with adaptive techniques<\/td>\n <\/tr>\n <tr>\n <td>Meal Preparation<\/td>\n <td>Required assistance<\/td>\n <td>Independent (light tasks)<\/td>\n <\/tr>\n <tr>\n <td>Household Cleaning<\/td>\n <td>Dependent<\/td>\n <td>Light tasks independently<\/td>\n <\/tr>\n <tr>\n <td>Outdoor Mobility<\/td>\n <td>Dependent<\/td>\n <td>Independent with walking stick<\/td>\n <\/tr>\n <tr>\n <td>Driving<\/td>\n <td>Dependent<\/td>\n <td>Not yet cleared (temporary restriction)<\/td>\n <\/tr>\n <tr>\n <td>Work<\/td>\n <td>Unable<\/td>\n <td>Office duties resumed with restrictions<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n\n <h3 class=\"subsection-heading\">Visual Progress Indicators<\/h3>\n <div class=\"card\" style=\"margin-top:16px;\">\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Walking Endurance<\/span>\n <span>25m to 450m<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-green\" style=\"width:90%;\"><\/div>\n <\/div>\n <\/div>\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Sitting Tolerance<\/span>\n <span>15min to 90min<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-blue\" style=\"width:85%;\"><\/div>\n <\/div>\n <\/div>\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Wrist Function<\/span>\n <span>Limited to routine self-care<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-blue\" style=\"width:75%;\"><\/div>\n <\/div>\n <\/div>\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Pain Reduction<\/span>\n <span>Severe to significantly reduced<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-green\" style=\"width:82%;\"><\/div>\n <\/div>\n <\/div>\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Overall Independence<\/span>\n <span>Dependent to mostly independent<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-green\" style=\"width:80%;\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block\">\n <div class=\"author-section\">\n <div class=\"author-top\">\n <img decoding=\"async\" src=\"https:\/\/athomecare.in\/wp-content\/uploads\/2026\/01\/WhatsApp_Image_2026-01-05_at_8.06.17_PM-removebg-preview.png\" alt=\"Dr. Ekta Fageriya\" class=\"author-img\">\n <div>\n <div class=\"author-name\">Dr. Ekta Fageriya, MBBS<\/div>\n <div class=\"author-creds\">RMC Registration No. 44780 | Geriatric Medicine | 7 Years Clinical Experience<\/div>\n <\/div>\n <\/div>\n <div class=\"author-details-grid\">\n <div class=\"author-detail-item\">\n <strong>Specialization<\/strong>\n Geriatric Medicine\n <\/div>\n <div class=\"author-detail-item\">\n <strong>Clinical Experience<\/strong>\n 7 Years\n <\/div>\n <div class=\"author-detail-item\">\n <strong>Registration<\/strong>\n RMC No. 44780\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Supporting Clinical Documents<\/h2>\n <p>The following clinical documents formed the basis of this case study. All patient-identifiable information has been removed to protect privacy.<\/p>\n <div class=\"card\">\n <ul class=\"card-list\">\n <li><strong>Hospital discharge summary:<\/strong> Contained the complete diagnosis list, surgical details, medication prescriptions, and follow-up instructions. This document guided the entire home care plan.<\/li>\n <li><strong>Operative notes for left distal radius ORIF:<\/strong> Detailed the surgical approach, hardware used, and post-operative wound care instructions.<\/li>\n <li><strong>Radiology reports:<\/strong> X-ray and CT imaging reports confirming the fracture patterns, the stable classification of the pelvic and spinal fractures, and the post-operative position of the wrist hardware.<\/li>\n <li><strong>Follow-up imaging (Week 12):<\/strong> X-rays confirming satisfactory healing of the pelvic and wrist fractures and consolidation of the L2 compression fracture.<\/li>\n <li><strong>In-hospital physiotherapy assessment:<\/strong> Baseline evaluation of mobility, strength, and functional status at the time of discharge.<\/li>\n <li><strong>Medication prescription:<\/strong> List of prescribed medications including analgesics, DVT prophylaxis, and supplements.<\/li>\n <\/ul>\n <\/div>\n <div class=\"clinical-note\">\n <strong>Note on Documentation:<\/strong> This case study is based on clinical records documented during the patient’s care. No laboratory values, vital sign readings, or specific medication names were available in the provided records and have therefore not been included. All clinical statements are derived solely from the documented findings and outcomes.\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Recovery Outcome<\/h2>\n\n <div class=\"outcome-grid\">\n <div class=\"outcome-item\">\n <div class=\"label\">Mobility<\/div>\n <div class=\"value\">Walking 450m with a stick, up from 25m with a walker<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Pain<\/div>\n <div class=\"value\">Significantly reduced across all three fracture sites<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Wrist Function<\/div>\n <div class=\"value\">Independent self-care and light household tasks<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Sitting Tolerance<\/div>\n <div class=\"value\">90 minutes, up from 15 minutes at discharge<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Work Status<\/div>\n <div class=\"value\">Office-based duties resumed with activity restrictions<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Complications<\/div>\n <div class=\"value\">Zero falls, infections, or readmissions in 12 weeks<\/div>\n <\/div>\n <\/div>\n\n <h3 class=\"subsection-heading\">Remaining Challenges<\/h3>\n <p>At the 12-week mark, some limitations persisted. Driving had not yet been cleared due to the left wrist’s ongoing recovery and the need for full grip strength and reaction time. Heavy lifting and construction site supervision involving physical activity remained restricted. Long-term core strengthening would need to continue independently to maintain spinal stability and reduce the risk of chronic lower back pain.<\/p>\n\n <h3 class=\"subsection-heading\">Long-Term Care Considerations<\/h3>\n <p>The patient was advised to continue core strengthening exercises independently. Regular orthopedic follow-ups were scheduled to monitor fracture healing and guide the gradual lifting of activity restrictions. The treating surgeon would determine when Mr. Brar could safely return to full on-site construction supervision. The family was educated that the recovery trajectory for compression fractures can extend beyond 12 weeks and that patience with the process was important.<\/p>\n\n <div class=\"scenario-card\">\n <div class=\"scenario-label\">Family Perspective<\/div>\n <p>The patient’s wife reported that having a structured home care plan reduced her anxiety significantly. She stated that knowing a nurse was monitoring the wound and a physiotherapist was guiding the exercises gave her confidence that her husband was recovering safely. The attendant’s presence allowed her to manage household responsibilities and care for her father-in-law without feeling overwhelmed.<\/p>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Key Clinical Learnings<\/h2>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Clinical Insights from This Case<\/span>\n <\/div>\n <p>The following observations are drawn from this case and are relevant to healthcare professionals and families managing similar injuries:<\/p>\n <\/div>\n\n <div class=\"card\" style=\"margin-top:16px;\">\n <ul class=\"card-list\">\n <li><strong>Multi-site fractures require coordinated rehabilitation timing.<\/strong> The wrist could not begin active exercises until the surgical wound healed. The spine required bracing before core exercises could begin. The pelvis needed protected weight-bearing before gait training could progress. A single physiotherapist managing all three sites ensured that progress in one area did not compromise another.<\/li>\n <li><strong>The hospital-to-home transition is a high-risk period.<\/strong> Patients are often discharged when they are “stable” but still highly vulnerable. In this case, the patient could not sit, stand, or walk safely without assistance. Without a pre-arranged home care plan, the first few days at home could have resulted in a fall or wound complication.<\/li>\n <li><strong>Core stabilization is not optional for lumbar compression fractures.<\/strong> The lumbar brace provides external support, but long-term spinal stability depends on the strength of the surrounding muscles. Starting core exercises early and progressing them systematically was a key factor in the patient’s pain reduction and functional improvement.<\/li>\n <li><strong>Family education directly affects outcomes.<\/strong> Families who understand spinal precautions, fall prevention, and warning signs are better equipped to support safe recovery. In this case, the family’s adherence to the education provided likely contributed to the zero-complication outcome.<\/li>\n <li><strong>A walking stick is not a sign of failure.<\/strong> Progressing from a walker to a walking stick at 12 weeks represented meaningful functional improvement. The goal of rehabilitation is safe, functional independence, not the complete elimination of all assistive devices within an arbitrary timeframe.<\/li>\n <li><strong>Return to work is a clinical decision, not just a patient desire.<\/strong> The patient returned to office duties only after imaging confirmed fracture healing and the treating surgeon provided clearance with specific restrictions. Premature return to physical construction work could have compromised the healing pelvis or spine.<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"clinical-note\">\n <strong>Relevance for the Delhi NCR Region:<\/strong> Patients in Mohali, Chandigarh, Panchkula, and the broader Delhi NCR including <a href=\"https:\/\/athomecare.in\/chandigarh\/services\/home-healthcare-services-chandigarh-mohali-panchkula\" style=\"color:#92400E;text-decoration:underline;\">Maholi and surrounding areas<\/a> have access to professional home healthcare services that can manage complex post-discharge rehabilitation. This case demonstrates that with appropriate clinical support, patients with multiple orthopedic injuries can achieve meaningful recovery at home without the need for rehabilitation facility admission. <a href=\"https:\/\/athomecare.in\/orthopedic-surgery-recovery-at-home-in-delhi-the-role-of-physiotherapy\/\" style=\"color:#92400E;text-decoration:underline;\">Orthopedic surgery recovery at home<\/a> is a well-established model of care when the right clinical resources are in place.\n <\/div>\n <\/section>\n\n \n<section class=\"section-block\">\n <h2 class=\"section-heading\">Frequently Asked Questions<\/h2>\n\n <div class=\"faq-section-list\">\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>What does a stable L2 compression fracture mean?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n A stable compression fracture means the front portion of the vertebra has collapsed but the posterior (back) portion remains intact. The spinal canal is not compromised, and there is no risk of the bone fragments pressing on the spinal cord. This type of fracture can heal with conservative treatment such as bracing and physiotherapy, without the need for spinal surgery.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Why was only the wrist fracture treated with surgery?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n The distal radius fracture was displaced, meaning the bone fragments were not in their correct anatomical position. Without surgery to realign and fix them, the wrist would have healed in a deformed position, leading to long-term loss of function, pain, and possible early arthritis. The pelvic and spinal fractures were stable and in acceptable alignment, so they did not require surgical fixation.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>How long does it take for a pelvic fracture to heal?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Most stable pelvic fractures in adults take 8 to 12 weeks to show initial healing on X-rays. Full bone remodeling can continue for several months beyond that. In this case, satisfactory healing was confirmed on imaging at 12 weeks, which aligned with the expected timeline. The patient’s young age and absence of metabolic bone disease supported normal healing.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Why is DVT prophylaxis important after a fall with fractures?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Deep vein thrombosis (DVT) is a blood clot that forms in the deep veins, usually in the legs. Trauma, fractures, surgery, and prolonged immobility are all independent risk factors for DVT. When these factors occur together, as in this case, the risk is particularly high. DVT can lead to a pulmonary embolism, which is a life-threatening condition where the clot travels to the lungs. Blood-thinning medication reduces this risk significantly.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>What is the role of a lumbar brace in compression fracture recovery?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n A lumbar brace restricts excessive flexion, extension, and rotation of the lumbar spine. By limiting these movements, the brace reduces the mechanical stress on the fractured vertebra, allowing it to heal in a stable position. The brace provides external support while the patient gradually builds internal support through core muscle strengthening. It is typically worn during the early weeks of recovery and gradually weaned as the fracture heals and core strength improves.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Can a patient with multiple fractures recover at home safely?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Yes, provided certain conditions are met. The patient must be medically stable at the time of discharge. Professional home nursing must be in place for wound monitoring and complication surveillance. Physiotherapy must be structured and consistent. The home environment must be equipped with appropriate assistive devices. Family members must be educated on safety precautions and warning signs. When these elements are in place, as demonstrated in this case, home recovery can be safe and effective.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Why was a patient attendant needed for 12 hours a day?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n With three active fractures, the patient needed physical assistance for nearly all mobility-related activities during the early recovery phase. This included getting out of bed, using the toilet, bathing, and walking. The patient’s wife and elderly father could not safely provide this level of physical support. The attendant also ensured the lumbar brace was worn correctly, medications were taken on time, and exercises were performed as prescribed. As the patient’s independence improved, the attendant’s role shifted from physical support to supervision.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>When can a patient return to physical construction work after such injuries?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n The timeline for returning to physically demanding work varies significantly based on the specific fractures, the patient’s healing response, and the nature of the job. In this case, at 12 weeks, the patient was cleared only for office-based duties. Full return to on-site construction supervision involving walking on uneven surfaces, climbing, and potential heavy lifting would require complete fracture healing, full range of motion, adequate strength, and clearance from the treating orthopedic surgeon. This decision is made on an individual basis and cannot be generalized.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>What would have happened without professional home healthcare?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Without professional support, several risks would have been elevated. The surgical wound could have become infected without proper dressing technique. The patient could have fallen during unsupported transfers or walking attempts. Spinal precautions might not have been followed consistently, risking further displacement of the L2 fracture. DVT prophylaxis might not have been managed correctly. Physiotherapy might have been delayed, inconsistent, or improperly performed, leading to stiffness, weakness, and chronic pain. The family would have faced significant physical and emotional burden without clinical guidance.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Is home healthcare available in Mohali and nearby areas?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Yes. Professional home healthcare services including nursing, physiotherapy, patient attendants, and medical equipment rental are available in Mohali, Chandigarh, Panchkula, and the broader Delhi NCR region including Gurgaon and Maholi. Services can be arranged based on the patient’s specific clinical needs, with care plans developed in coordination with the treating hospital and doctors.\n <\/div>\n <\/div>\n <\/div>\n\n <\/div>\n<\/section>\n \n <section class=\"section-block\">\n <div class=\"contact-section\">\n <h3 style=\"font-size:18px;font-weight:600;color:var(--text-primary);margin-bottom:20px;\">Contact AtHomeCare<\/h3>\n <div class=\"contact-grid\">\n <div class=\"contact-item\">\n <strong>Corporate Office<\/strong>\n <span>Unit No. 703, 7th Floor, ILD Trade Centre, D1 Block, Malibu Town, Sector 47, Maholi, Haryana 122018<\/span>\n <\/div>\n <div class=\"contact-item\">\n <strong>Phone<\/strong>\n <a href=\"tel:9910823218\">9910823218<\/a>\n <\/div>\n <div class=\"contact-item\">\n <strong>Email<\/strong>\n <a href=\"mailto:care@athomecare.in\">care@athomecare.in<\/a>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block\">\n <div class=\"disclaimer\">\n <strong>Medical Disclaimer<\/strong>\n Every patient is unique. The clinical outcomes, treatment decisions, and recovery timelines described in this case study are specific to this patient and should not be generalized. Treatment decisions must always be made by qualified healthcare professionals based on individual clinical assessment. Emergency symptoms such as sudden severe pain, numbness, weakness, difficulty breathing, or loss of consciousness require immediate hospital care. Home healthcare complements, but does not replace, emergency medical services or hospital-based treatment. This article is intended for informational purposes and does not constitute medical advice.\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <div class=\"card card-green\">\n <div class=\"card-label card-label-green\">Summary<\/div>\n <p style=\"font-size:14px;color:var(--text-secondary);line-height:1.8;margin:0;\">Recovery after a fall from height involving pelvic, spinal, and upper-limb injuries requires a carefully coordinated rehabilitation program even after hospital discharge. <a href=\"https:\/\/athomecare.in\/home-nursing-athomecare\/\">Home nursing<\/a>, <a href=\"https:\/\/athomecare.in\/physiotherapy-at-home-gurgaon-expert-care-call-9910823218\/\">physiotherapy<\/a>, caregiver education, assistive devices, and gradual functional training help promote fracture healing, restore mobility, prevent complications, and support a safe return to independent living and employment. This case demonstrates that with appropriate clinical support at home, even patients with multiple orthopedic injuries can achieve meaningful functional recovery without the need for institutional rehabilitation admission.<\/p>\n <\/div>\n <\/section>\n\n <\/div>\n <\/main>\n\n <footer>\n <div class=\"container\">\n <p>© 2026 AtHomeCare. All rights reserved. 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{"id":50,"date":"2026-07-11T11:23:51","date_gmt":"2026-07-11T11:23:51","guid":{"rendered":"https:\/\/athomecare.in\/mohali\/?p=50"},"modified":"2026-07-11T11:23:51","modified_gmt":"2026-07-11T11:23:51","slug":"recovery-from-multiple-fractures-after-a-construction-site-fall-structured-home-care-case-study","status":"publish","type":"post","link":"https:\/\/athomecare.in\/mohali\/recovery-from-multiple-fractures-after-a-construction-site-fall-structured-home-care-case-study\/","title":{"rendered":"Recovery from Multiple Fractures After a Construction Site Fall: Structured Home Care Case Study"},"content":{"rendered":"\n\n\n\n \n \n Multiple Orthopedic Injuries After Fall from Height: Home Rehabilitation Case Study | AtHomeCare<\/title>\n <meta name=\"description\" content=\"Clinical case study of a 38-year-old construction supervisor with pelvic fracture, L2 compression fracture, and distal radius fracture managed through structured home healthcare rehabilitation over 12 weeks.\">\n <link rel=\"canonical\" href=\"https:\/\/athomecare.in\/case-study-multiple-orthopedic-injuries-home-rehabilitation\">\n <meta name=\"robots\" content=\"index, follow\">\n <link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\n <link rel=\"preconnect\" href=\"https:\/\/fonts.gstatic.com\" crossorigin>\n <link href=\"https:\/\/fonts.googleapis.com\/css2?family=Inter:wght@300;400;500;600;700&family=Merriweather:wght@400;700&display=swap\" rel=\"stylesheet\">\n <style>\n *, *::before, *::after { box-sizing: border-box; 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}\n table { font-size: 13px; }\n th, td { padding: 10px 10px; }\n }\n <\/style>\n\n <script type=\"application\/ld+json\">\n {\n \"@context\": \"https:\/\/schema.org\",\n \"@type\": \"MedicalWebPage\",\n \"name\": \"Multiple Orthopedic Injuries After Fall from Height: Home Rehabilitation Case Study\",\n \"description\": \"Clinical case study of a 38-year-old patient with pelvic fracture, L2 compression fracture, and distal radius fracture managed through structured home healthcare over 12 weeks.\",\n \"about\": {\n \"@type\": \"MedicalCondition\",\n \"name\": \"Multiple Orthopedic Injuries Following Fall from Height\"\n },\n \"author\": {\n \"@type\": \"Physician\",\n \"name\": \"Dr. Ekta Fageriya\",\n \"credential\": \"MBBS\",\n \"medicalSpecialty\": \"Geriatric Medicine\"\n },\n \"publisher\": {\n \"@type\": \"Organization\",\n \"name\": \"AtHomeCare\"\n }\n }\n <\/script>\n<\/head>\n<body>\n\n \n <header class=\"hero\">\n <div class=\"container\">\n <span class=\"hero-badge\">Clinical Case Study<\/span>\n <h1>Multiple Orthopedic Injuries After a Fall from Height: How Structured Home Rehabilitation Restored Mobility and Independence<\/h1>\n <p class=\"hero-summary\">A 38-year-old construction site supervisor in Mohali sustained a pelvic fracture, stable L2 compression fracture, and a displaced left distal radius fracture. After 17 days of hospital treatment including surgery, he was discharged with significant functional limitations. This case study documents his 12-week recovery through professional home healthcare.<\/p>\n <div class=\"hero-grid\">\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Patient Age<\/div>\n <div class=\"hero-stat-value\">38 Years, Male<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Location<\/div>\n <div class=\"hero-stat-value\">Mohali, Punjab<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Primary Condition<\/div>\n <div class=\"hero-stat-value\">Multiple Orthopedic Fractures<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Duration of Care<\/div>\n <div class=\"hero-stat-value\">12 Weeks<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Hospital Stay<\/div>\n <div class=\"hero-stat-value\">17 Days<\/div>\n <\/div>\n <div class=\"hero-stat\">\n <div class=\"hero-stat-label\">Final Outcome<\/div>\n <div class=\"hero-stat-value\">Returned to Office Duties<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/header>\n\n \n <main class=\"main-content\">\n <div class=\"container-narrow\">\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Patient Background<\/h2>\n <p>Mr. Gurkirat Brar, a 38-year-old male, worked as a site civil supervisor at a construction project in Mohali, Punjab. His job involved walking across uneven surfaces, climbing scaffolding, and supervising labour at various heights. He was married and lived with his wife, aged 35, and his father, aged 64.<\/p>\n <p>Before the injury, Mr. Brar was physically active and had no known chronic medical conditions. He had no history of previous fractures, spinal problems, or musculoskeletal disorders. There was no documented history of smoking, alcohol use, or metabolic bone disease. His baseline functional status was fully independent in all activities of daily living.<\/p>\n <p>His wife took on the role of primary caregiver after the injury. His father, despite being 64 years old, served as the secondary caregiver. The family had no prior experience managing orthopedic injuries or post-surgical care at home. They lived in a standard apartment with basic furnishings, which would later require modifications to support safe mobility during recovery.<\/p>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Clinical Context<\/span>\n <\/div>\n <p>Construction workers in India face a disproportionately high risk of fall-from-height injuries. According to occupational health data, falls from scaffolding remain one of the leading causes of multiple orthopedic trauma in the building sector. Younger patients like Mr. Brar typically have good bone health and healing potential, but the combination of spinal, pelvic, and upper-limb injuries creates a complex rehabilitation challenge that requires coordinated care.<\/p>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Clinical Diagnosis<\/h2>\n <p>Mr. Brar fell approximately 12 feet from scaffolding while supervising construction work. He landed on his left side and lower back. Following the fall, he experienced severe lower back pain, pelvic pain, and pain in the left wrist. He was unable to bear weight on his lower limbs.<\/p>\n\n <h3 class=\"subsection-heading\">Injuries Identified<\/h3>\n <div class=\"card\">\n <ul class=\"card-list\">\n <li><strong>Stable pelvic ring fracture:<\/strong> The pelvic bones were fractured but the ring structure remained mechanically stable, meaning the fracture did not require surgical fixation and could heal with conservative management.<\/li>\n <li><strong>Stable L2 vertebral compression fracture:<\/strong> The second lumbar vertebra had a compression fracture. Critically, there was no spinal cord involvement, no nerve compression, and no neurological deficit. This classification as “stable” meant the fracture could be managed with a lumbar brace rather than surgery.<\/li>\n <li><strong>Displaced left distal radius fracture:<\/strong> The wrist bone near the wrist joint was broken and the fragments were out of alignment. This required surgical correction through Open Reduction and Internal Fixation (ORIF) to restore the anatomy and allow proper hand function.<\/li>\n <\/ul>\n <\/div>\n\n <h3 class=\"subsection-heading\">Associated Medical Conditions<\/h3>\n <div class=\"card card-amber\">\n <div class=\"card-label card-label-amber\">\n <svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M1 21h22L12 2 1 21zm12-3h-2v-2h2v2zm0-4h-2v-4h2v4z\"\/><\/svg>\n Conditions Documented at Discharge\n <\/div>\n <ul class=\"card-list\">\n <li>Acute post-traumatic pain in the lower back, pelvis, and left wrist<\/li>\n <li>Lumbar muscle spasm around the L2 vertebra<\/li>\n <li>Mild post-operative anemia, likely related to blood loss during surgery<\/li>\n <li>Reduced muscle strength in both lower limbs due to pain and immobility<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"clinical-note\">\n <strong>Important Negative Findings:<\/strong> No spinal cord injury was present. There was no bowel or bladder dysfunction, which would have suggested nerve damage. No traumatic brain injury was documented. The absence of these complications significantly shaped the rehabilitation plan, as it meant the patient had the potential for full functional recovery with appropriate care.\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Hospital Treatment<\/h2>\n <p>Mr. Brar was taken to the hospital emergency department immediately after the fall. A comprehensive trauma evaluation was performed. This included a physical examination, X-rays of the pelvis, lumbar spine, and left wrist, along with a CT scan to further define the fracture patterns and rule out internal injuries.<\/p>\n <p>He remained in the hospital for 17 days. During this period, the following interventions were carried out:<\/p>\n\n <div class=\"card card-blue\">\n <div class=\"card-label card-label-blue\">Hospital Course and Interventions<\/div>\n <ul class=\"card-list\">\n <li><strong>Emergency trauma evaluation:<\/strong> Systematic assessment using ATLS principles to identify all injuries and rule out life-threatening conditions such as internal bleeding or organ damage.<\/li>\n <li><strong>Open Reduction and Internal Fixation (ORIF) of the left distal radius:<\/strong> Surgery was performed to realign the broken wrist bone fragments and secure them with plates and screws. This procedure was necessary because the fracture was displaced, meaning the bone ends were not in proper position for natural healing.<\/li>\n <li><strong>Conservative management of the pelvic fracture:<\/strong> Since the pelvic ring was stable, surgery was not required. The fracture was managed with rest, pain control, and gradual mobilization as tolerated.<\/li>\n <li><strong>Lumbar brace application:<\/strong> A custom lumbar support brace was fitted to restrict excessive movement of the L2 vertebra during the healing phase and to provide external stability to the spine.<\/li>\n <li><strong>Pain management:<\/strong> A combination of oral analgesics was prescribed to control acute pain and allow the patient to participate in early mobilization.<\/li>\n <li><strong>Deep Vein Thrombosis (DVT) prophylaxis:<\/strong> Blood-thinning medication was administered to reduce the risk of blood clots in the legs, a well-documented complication of prolonged immobility after trauma and orthopedic surgery.<\/li>\n <li><strong>Physiotherapy assessment:<\/strong> An in-hospital physiotherapy evaluation was conducted to establish baseline mobility, identify functional limitations, and create a preliminary rehabilitation plan.<\/li>\n <li><strong>Occupational therapy consultation:<\/strong> The occupational therapy team assessed the patient’s ability to perform daily activities and provided guidance on adaptive techniques for the recovery period.<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Why the Pelvic and Spinal Fractures Were Managed Without Surgery<\/span>\n <\/div>\n <p>Not all fractures require surgical fixation. The decision to manage the pelvic and L2 fractures conservatively was based on their “stable” classification. A stable fracture means the bone fragments are not likely to shift further if the area is protected. Surgical fixation carries its own risks, including infection, bleeding, and prolonged anesthesia. When the fracture pattern allows, conservative management with bracing and gradual mobilization is the clinically preferred approach because it avoids additional surgical trauma while achieving the same healing outcome.<\/p>\n <\/div>\n\n <p>At discharge, Mr. Brar was clinically stable. His surgical wound was healing. Pain was controlled with oral medication. He was advised supervised home rehabilitation with regular orthopedic follow-up visits.<\/p>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Condition After Discharge<\/h2>\n <p>Despite being medically stable, Mr. Brar’s functional status at the time of discharge was significantly limited. The transition from hospital to home is often a vulnerable period for trauma patients, and his situation illustrated this clearly.<\/p>\n\n <h3 class=\"subsection-heading\">Symptoms at Discharge<\/h3>\n <div class=\"card card-red\">\n <div class=\"card-label card-label-red\">\n <svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-2 15l-5-5 1.41-1.41L10 14.17l7.59-7.59L19 8l-9 9z\"\/><\/svg>\n Functional Limitations Documented\n <\/div>\n <ul class=\"card-list\">\n <li>Severe lower back pain during any movement<\/li>\n <li>Difficulty standing for more than a few minutes at a time<\/li>\n <li>Pain while sitting for extended durations<\/li>\n <li>Noticeable weakness in both lower limbs<\/li>\n <li>Reduced balance, creating a high risk of falls<\/li>\n <li>Limited use of the left wrist due to post-surgical stiffness and pain<\/li>\n <li>Difficulty performing basic household activities<\/li>\n <\/ul>\n <\/div>\n\n <h3 class=\"subsection-heading\">Functional Assessment<\/h3>\n <div class=\"table-wrapper\">\n <table>\n <thead>\n <tr>\n <th>Activity Level<\/th>\n <th>Activities<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td><strong>Dependent<\/strong><\/td>\n <td>Outdoor mobility, household cleaning, driving, carrying heavy objects<\/td>\n <\/tr>\n <tr>\n <td><strong>Required Assistance<\/strong><\/td>\n <td>Bathing, dressing (lower body), meal preparation, hospital follow-up visits<\/td>\n <\/tr>\n <tr>\n <td><strong>Independent<\/strong><\/td>\n <td>Feeding, communication, personal decision-making<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n\n <p>He could walk only short distances using a walker and required supervision during all transfers from bed to chair and back. He could climb stairs only with another person assisting him and with handrail support. This level of dependency in a previously independent 38-year-old created significant practical and emotional challenges for the entire family.<\/p>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Why Home Healthcare Was Needed<\/h2>\n <p>The treating team recommended professional <a href=\"https:\/\/athomecare.in\/home-nursing-athomecare\/\">home nursing<\/a> and <a href=\"https:\/\/athomecare.in\/physiotherapy-at-home-gurgaon-expert-care-call-9910823218\/\">physiotherapy at home<\/a> for several clinically sound reasons.<\/p>\n\n <p>Mr. Brar had three simultaneous fractures affecting different body regions. Each fracture had its own healing timeline and rehabilitation requirements. The pelvic fracture needed protected weight-bearing and pain management. The lumbar fracture needed strict spinal precautions and core stabilization. The wrist fracture needed surgical wound care and gradual range-of-motion recovery. Managing all three simultaneously in an unsupervised home setting would have been unsafe.<\/p>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Why Not Continue in the Hospital?<\/span>\n <\/div>\n <p>By day 17, Mr. Brar was medically stable. His surgical wound showed no signs of infection. His pain was manageable with oral medication. Prolonged hospital stays beyond medical necessity are associated with increased risks of hospital-acquired infections, deconditioning, and psychological distress. The clinical question was not whether he needed to stay in the hospital, but how to safely transfer his ongoing rehabilitation needs to the home setting. This is precisely where <a href=\"https:\/\/athomecare.in\/post-hospital-recovery-at-home-faridabad\/\">post-hospital recovery at home<\/a> becomes the appropriate standard of care.<\/p>\n <\/div>\n\n <p>The family had no training in wound care, spinal precautions, or safe transfer techniques. His wife, the primary caregiver, needed practical support. His father, at 64, was not physically equipped to assist with transfers. Without professional home support, the risk of a second fall, wound infection, or delayed fracture healing would have been unacceptably high.<\/p>\n\n <p>Families in Mohali and the broader Delhi NCR region, including those in <a href=\"https:\/\/athomecare.in\/home-care-services-in-gurgaon\/\">Maholi and Gurgaon<\/a>, increasingly face this exact situation: a loved one is discharged from the hospital but still needs clinical supervision that the family cannot safely provide on their own. <a href=\"https:\/\/athomecare.in\/why-choose-home-care-the-benefits-of-in-home-support-by-athomecare\/\">Professional home healthcare<\/a> bridges this gap by bringing trained nurses, physiotherapists, and attendants into the patient’s home.<\/p>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Home Care Plan by AtHomeCare<\/h2>\n <p>A structured, multi-disciplinary home care plan was designed based on the hospital discharge summary, the physiotherapy assessment, and the family’s living situation. The plan addressed wound care, pain management, mobility rehabilitation, and caregiver support.<\/p>\n\n \n <h3 class=\"subsection-heading\">Home Nursing (Three Visits Per Week)<\/h3>\n <div class=\"card card-blue\">\n <div class=\"card-label card-label-blue\">\n <svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M19 3H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2zm-7 9h-2V7h-2v5H6v2h2v5h2v-5h2v5h2v-5h2v-2h-2V7h-2v5z\"\/><\/svg>\n Nursing Interventions\n <\/div>\n <p style=\"font-size:14px;color:var(--text-secondary);margin-bottom:10px;\">A registered nurse visited three times per week to perform the following clinical tasks:<\/p>\n <ul class=\"card-list\">\n <li><strong>Vital signs monitoring:<\/strong> Blood pressure, heart rate, temperature, and oxygen saturation were checked at each visit to detect early signs of infection or other complications.<\/li>\n <li><strong>Surgical wound assessment:<\/strong> The ORIF wound on the left wrist was inspected for signs of infection including redness, swelling, warmth, discharge, or wound dehiscence.<\/li>\n <li><strong>Dressing changes:<\/strong> Sterile dressing changes were performed as per the surgical team’s protocol until the wound was sufficiently healed.<\/li>\n <li><strong>Pain assessment:<\/strong> Pain levels were documented using a standardized scale. The nurse tracked whether pain was improving, stable, or worsening, and communicated findings to the treating doctor.<\/li>\n <li><strong>Medication review:<\/strong> The nurse verified that the patient was taking prescribed medications correctly, including analgesics, DVT prophylaxis, and any supplements for bone healing.<\/li>\n <li><strong>Monitoring for pressure injuries:<\/strong> Because the patient spent significant time in bed and in a hospital bed at home, skin integrity checks were performed to prevent pressure sores, a concern addressed in detail in <a href=\"https:\/\/athomecare.in\/pressure-ulcer-prevention-guide-for-elderly-home-care-in-gurgaon\/\">pressure ulcer prevention guidelines<\/a>.<\/li>\n <li><strong>Education regarding spinal precautions:<\/strong> The nurse reinforced proper body mechanics, the importance of wearing the lumbar brace, and movements to avoid during the healing phase.<\/li>\n <\/ul>\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Physiotherapy (Five Sessions Weekly)<\/h3>\n <div class=\"card card-green\">\n <div class=\"card-label card-label-green\">\n <svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M13.49 5.48c1.1 0 2-.9 2-2s-.9-2-2-2-2 .9-2 2 .9 2 2 2zm-3.6 13.9l1-4.4 2.1 2v6h2v-7.5l-2.1-2 .6-3c1.3 1.5 3.3 2.5 5.5 2.5v-2c-1.9 0-3.5-1-4.3-2.4l-1-1.6c-.4-.6-1-1-1.7-1-.3 0-.5.1-.8.1l-5.2 2.2v4.7h2v-3.4l1.8-.7-1.6 8.1-4.9-1-.4 2 7 1.4z\"\/><\/svg>\n Rehabilitation Focus Areas\n <\/div>\n <p style=\"font-size:14px;color:var(--text-secondary);margin-bottom:10px;\">Five physiotherapy sessions per week were prescribed. This high frequency was necessary because the patient had multiple injury sites requiring simultaneous attention. The <a href=\"https:\/\/athomecare.in\/customized-rehabilitation-and-strength-building-exercise-programs-a-pathway-to-recovery\/\">customized rehabilitation program<\/a> included:<\/p>\n <ul class=\"card-list\">\n <li><strong>Core stabilization exercises:<\/strong> Gentle exercises targeting the abdominal and back muscles were introduced progressively. A strong core provides internal support to the lumbar spine, reducing the load on the healing L2 vertebra. These exercises are a cornerstone of <a href=\"https:\/\/athomecare.in\/physiotherapy-at-home-gurgaon-expert-care-call-9910823218\/\">home-based physiotherapy<\/a> for spinal fractures.<\/li>\n <li><strong>Progressive gait training:<\/strong> Walking was gradually increased in distance and complexity. The patient started with the walker, progressed to a walking stick, and worked on normalized gait pattern without assistive devices.<\/li>\n <li><strong>Pelvic strengthening:<\/strong> Exercises targeting the hip girdle and pelvic floor muscles were included to support the healing pelvic fracture and improve weight-bearing tolerance.<\/li>\n <li><strong>Lower limb strengthening:<\/strong> Quadriceps, hamstrings, gluteal, and calf muscles were strengthened to address the documented weakness and improve the patient’s ability to stand, walk, and climb stairs.<\/li>\n <li><strong>Wrist range-of-motion exercises:<\/strong> After the surgical wound healed sufficiently, gentle wrist and finger exercises were started to prevent stiffness and restore the range of motion needed for daily tasks.<\/li>\n <li><strong>Balance training:<\/strong> Static and dynamic balance exercises were introduced to reduce the documented fall risk. This is particularly important for patients with lower limb weakness and spinal injuries, as discussed in <a href=\"https:\/\/athomecare.in\/comprehensive-guide-to-fall-prevention-protecting-your-loved-ones\/\">fall prevention guidelines<\/a>.<\/li>\n <li><strong>Transfer training:<\/strong> The physiotherapist taught the patient safe techniques for moving from bed to chair, chair to standing, and on and off the toilet. Proper transfer technique protects both the fractures and the caregiver.<\/li>\n <li><strong>Functional mobility exercises:<\/strong> Task-specific exercises simulating real-life activities such as picking objects from the floor, reaching overhead, and navigating tight spaces were incorporated as the patient progressed.<\/li>\n <\/ul>\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Patient Attendant (12-Hour Daily Assistance)<\/h3>\n <div class=\"card\">\n <div class=\"card-label card-label-blue\">Caregiver Support<\/div>\n <p style=\"font-size:14px;color:var(--text-secondary);margin-bottom:10px;\">A trained <a href=\"https:\/\/athomecare.in\/patient-care-taker-gda\/\">patient care attendant<\/a> was provided for 12 hours each day. This was essential because the patient’s wife and father could not safely manage all his physical needs alone. The attendant provided:<\/p>\n <ul class=\"card-list\">\n <li>Assistance with personal hygiene including bathing while maintaining spinal precautions<\/li>\n <li>Support during all transfers, ensuring the lumbar brace was worn correctly<\/li>\n <li>Walking assistance using the walker, providing steady support and preventing falls<\/li>\n <li>Meal assistance, including help with food preparation and serving<\/li>\n <li>Medication reminders to ensure prescribed drugs were taken on time<\/li>\n <li>Supervision of home exercises as directed by the physiotherapist<\/li>\n <li>Escorting the patient to hospital follow-up appointments, managing logistics of travel with a mobility-impaired person<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Why a 12-Hour Attendant Was Clinically Necessary<\/span>\n <\/div>\n <p>With three active fracture sites, Mr. Brar needed physical assistance for nearly every activity during the early recovery phase. The risk of attempting to move independently was a fall that could displace the healing pelvic fracture or worsen the spinal injury. A <a href=\"https:\/\/athomecare.in\/patient-care-services-gurgaon\/\">trained patient care attendant<\/a> provides a level of physical support and safety awareness that family members, despite their best intentions, typically cannot match. The 12-hour coverage during daytime addressed the period of highest activity, while family members managed nighttime needs with guidance from the nursing team.<\/p>\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Medical Equipment Provided at Home<\/h3>\n <div class=\"equip-grid\">\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Walker\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Lumbar Support Brace\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Wrist Splint\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Hospital Bed\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Raised Toilet Seat\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n BP Monitor\n <\/div>\n <div class=\"equip-item\">\n <div class=\"equip-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n Shower Chair\n <\/div>\n <\/div>\n <p style=\"font-size:14px;color:var(--text-muted);margin-top:8px;\">All equipment was arranged through <a href=\"https:\/\/athomecare.in\/home-care-gurgaon\/medical-equipment-rental\/\">medical equipment rental services<\/a>, reducing the financial burden on the family while ensuring clinical-grade support at home.<\/p>\n\n \n <h3 class=\"subsection-heading\">Risks Actively Monitored<\/h3>\n <div class=\"risk-grid\">\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Delayed fracture healing<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Falls<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Surgical site infection<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Deep vein thrombosis (DVT)<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Chronic lower back pain<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Joint stiffness<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Reduced mobility<\/div>\n <div class=\"risk-item\"><span class=\"risk-dot\"><\/span>Hospital readmission<\/div>\n <\/div>\n\n <div class=\"clinical-note\" style=\"margin-top:16px;\">\n <strong>Why DVT Monitoring Was Critical:<\/strong> After trauma and orthopedic surgery, the risk of blood clots in the deep veins of the legs is significantly elevated. DVT can lead to a life-threatening pulmonary embolism if a clot travels to the lungs. The nursing team monitored for calf swelling, pain, warmth, and redness at each visit. <a href=\"https:\/\/athomecare.in\/preventing-deep-vein-thrombosis-at-home-the-benefits-of-athomecares-dvt-pump-in-delhi\/\" style=\"color:#92400E;text-decoration:underline;\">DVT prevention at home<\/a> is a standard component of post-orthopedic care and was continued as prescribed until the patient regained sufficient mobility.\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Rehabilitation Goals<\/h3>\n <div class=\"goal-row\">\n <div class=\"goal-card goal-short\">\n <h4>Short-Term Goals (Weeks 1 to 4)<\/h4>\n <ul>\n <li>Reduce pain to a manageable level<\/li>\n <li>Improve sitting tolerance from baseline<\/li>\n <li>Increase walking distance safely<\/li>\n <li>Restore basic wrist movement<\/li>\n <li>Improve transfer ability with less assistance<\/li>\n <\/ul>\n <\/div>\n <div class=\"goal-card goal-long\">\n <h4>Long-Term Goals (Weeks 5 to 12)<\/h4>\n <ul>\n <li>Achieve independent walking without walker<\/li>\n <li>Restore functional use of the left upper limb<\/li>\n <li>Return to work with activity modification<\/li>\n <li>Improve spinal stability through core strength<\/li>\n <li>Maintain long-term functional independence<\/li>\n <\/ul>\n <\/div>\n <\/div>\n\n \n <h3 class=\"subsection-heading\">Family Education<\/h3>\n <div class=\"card card-purple\">\n <div class=\"card-label card-label-purple\">Education Provided to the Family<\/div>\n <ul class=\"card-list\">\n <li>Safe spinal movement techniques to avoid stressing the L2 vertebra during daily activities<\/li>\n <li>Proper use and fitting of the lumbar brace and walker to ensure they provided the intended support<\/li>\n <li><a href=\"https:\/\/athomecare.in\/personalized-wound-care-and-infection-prevention-for-optimal-healing\/\">Surgical wound care<\/a> principles including signs of infection to watch for between nurse visits<\/li>\n <li><a href=\"https:\/\/athomecare.in\/safety-first-home-modifications-and-fall-prevention-for-gurgaons-seniors\/\">Fall prevention<\/a> strategies specific to their home environment, including removing loose rugs, ensuring adequate lighting, and keeping pathways clear<\/li>\n <li>The importance of attending all prescribed physiotherapy sessions and not skipping exercises<\/li>\n <li>Nutrition guidance emphasizing adequate calcium and protein intake to support bone healing<\/li>\n <li>Recognizing warning signs that require immediate medical attention: increasing back pain, new numbness or weakness in the legs, fever, wound discharge, or leg swelling<\/li>\n <\/ul>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Recovery Timeline<\/h2>\n\n <div class=\"timeline\">\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Day 1: Transition Home<\/div>\n <div class=\"timeline-content\">\n <p>The home care team arrived before the patient’s discharge to set up the hospital bed, walker, raised toilet seat, and shower chair. The patient attendant was briefed on the care plan. When Mr. Brar arrived home, the nurse conducted an initial assessment including vital signs, wound inspection, and pain scoring.<\/p>\n <p>He was in significant pain, could not sit for more than a few minutes, and required maximum assistance for all transfers. The lumbar brace was fitted and its use was reinforced.<\/p>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <span class=\"timeline-tag tag-family\">Family Briefing<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Day 3: First Physiotherapy Session<\/div>\n <div class=\"timeline-content\">\n <p>The physiotherapist conducted a detailed baseline assessment of range of motion, muscle strength, balance, and functional mobility. Very gentle core activation exercises were introduced while the patient lay in bed. Wrist exercises were limited to finger movements only, as the surgical wound was still fresh.<\/p>\n <p>The patient could walk approximately 10 metres with the walker with maximum assistance. Pain was scored at 7 out of 10 during movement.<\/p>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Week 1: Establishing the Routine<\/div>\n <div class=\"timeline-content\">\n <p>The daily routine stabilized. The attendant assisted with morning hygiene and breakfast. Physiotherapy sessions focused on bed-based core exercises, gentle lower limb movements, and assisted sitting at the edge of the bed. Walking distance increased to approximately 15 to 20 metres per session.<\/p>\n <p>The nurse noted the surgical wound was clean and dry with no signs of infection. Pain medication was being taken as prescribed. The family reported that the patient was more comfortable with the routine but frustrated by his dependence.<\/p>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-family\">Family Observation<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Week 2: Early Progress<\/div>\n <div class=\"timeline-content\">\n <p>Sitting tolerance improved to approximately 25 minutes. The physiotherapist introduced standing exercises with support and began transfer training from bed to chair. Core exercises progressed from lying down to sitting position.<\/p>\n <p>Walking distance reached approximately 25 metres with the walker and supervision. The patient could perform basic finger and thumb movements on the left hand. The first orthopedic follow-up visit was completed, with imaging showing fracture alignment was maintained.<\/p>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-doctor\">Doctor Review<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Week 4: Noticeable Functional Improvement<\/div>\n <div class=\"timeline-content\">\n <p>By the end of the first month, the patient could sit for approximately 40 minutes without severe discomfort. Walking distance with the walker had increased to approximately 100 metres. He began stepping up and down with support as a precursor to stair climbing.<\/p>\n <p>Wrist mobility improved significantly. Grip strength exercises were introduced using a soft ball. The patient could now assist with feeding using the left hand and perform light upper-body tasks. Pain during movement had reduced from 7 to approximately 4 out of 10. The nurse discontinued routine wound dressings as the surgical site had fully closed. DVT prophylaxis was reviewed and adjusted based on the doctor’s assessment of mobility improvement.<\/p>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-doctor\">Doctor Review<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot\"><\/div>\n <div class=\"timeline-label\">Month 2: Transitioning to Greater Independence<\/div>\n <div class=\"timeline-content\">\n <p>Core stabilization exercises became more dynamic. The patient could perform exercises in standing position with support. Walking progressed from the walker to a walking stick for shorter distances. Balance training included single-leg standing with support and weight-shifting exercises.<\/p>\n <p>Wrist mobility improved significantly. Grip strength exercises were introduced using a soft ball. The patient could now assist with feeding using the left hand and perform light upper-body tasks. Stair climbing was practiced with the walking stick and handrail, progressing from assisted to supervised.<\/p>\n <p>The attendant’s hours were gradually reduced as the patient’s independence increased. The family was educated on how to supervise exercises and assist only when needed.<\/p>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <span class=\"timeline-tag tag-family\">Family Education<\/span>\n <\/div>\n <\/div>\n\n <div class=\"timeline-item\">\n <div class=\"timeline-dot timeline-dot-green\"><\/div>\n <div class=\"timeline-label\">Month 3 (Week 12): Recovery Milestone<\/div>\n <div class=\"timeline-content\">\n <p>Follow-up imaging confirmed satisfactory healing of both the pelvic and wrist fractures. The L2 compression fracture showed signs of consolidation. The treating orthopedic surgeon cleared the patient for progressive return to activities.<\/p>\n <p>Walking endurance had improved from approximately 25 metres with a walker to nearly 450 metres using a walking stick with minimal supervision. Lower back pain had reduced significantly through structured core strengthening. Left wrist mobility and grip strength allowed independent self-care and light household tasks. Sitting tolerance increased from 15 minutes to nearly 90 minutes.<\/p>\n <p>The patient returned to office-based supervisory duties with temporary restrictions on heavy physical activity. No falls, neurological complications, surgical site infections, or hospital readmissions occurred during the entire 12-week home healthcare period.<\/p>\n <span class=\"timeline-tag tag-doctor\">Doctor Review<\/span>\n <span class=\"timeline-tag tag-physio\">Physiotherapy<\/span>\n <span class=\"timeline-tag tag-nursing\">Nursing<\/span>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Clinical Progress Documentation<\/h2>\n\n <h3 class=\"subsection-heading\">Mobility Progression<\/h3>\n <div class=\"table-wrapper\">\n <table>\n <thead>\n <tr>\n <th>Parameter<\/th>\n <th>At Discharge<\/th>\n <th>Week 4<\/th>\n <th>Week 12<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Walking Device<\/td>\n <td>Walker (maximum assistance)<\/td>\n <td>Walker (supervision)<\/td>\n <td>Walking stick (minimal supervision)<\/td>\n <\/tr>\n <tr>\n <td>Walking Distance<\/td>\n <td>Approx. 10-25 metres<\/td>\n <td>Approx. 100 metres<\/td>\n <td>Nearly 450 metres<\/td>\n <\/tr>\n <tr>\n <td>Sitting Tolerance<\/td>\n <td>Approx. 15 minutes<\/td>\n <td>Approx. 40 minutes<\/td>\n <td>Nearly 90 minutes<\/td>\n <\/tr>\n <tr>\n <td>Stair Climbing<\/td>\n <td>Assistance + handrail<\/td>\n <td>Supervised with handrail<\/td>\n <td>Walking stick + handrail<\/td>\n <\/tr>\n <tr>\n <td>Transfer Ability<\/td>\n <td>Maximum assistance<\/td>\n <td>Minimal assistance<\/td>\n <td>Supervision only<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n\n <h3 class=\"subsection-heading\">Pain Progression<\/h3>\n <div class=\"table-wrapper\">\n <table>\n <thead>\n <tr>\n <th>Pain Site<\/th>\n <th>At Discharge<\/th>\n <th>Week 4<\/th>\n <th>Week 12<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Lower Back<\/td>\n <td>Severe during movement<\/td>\n <td>Moderate, improving<\/td>\n <td>Significantly reduced<\/td>\n <\/tr>\n <tr>\n <td>Pelvis<\/td>\n <td>Severe on weight-bearing<\/td>\n <td>Moderate on weight-bearing<\/td>\n <td>Mild, tolerable<\/td>\n <\/tr>\n <tr>\n <td>Left Wrist<\/td>\n <td>Moderate to severe<\/td>\n <td>Mild to moderate<\/td>\n <td>Mild<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n\n <h3 class=\"subsection-heading\">Functional Status Progression<\/h3>\n <div class=\"table-wrapper\">\n <table>\n <thead>\n <tr>\n <th>Activity<\/th>\n <th>At Discharge<\/th>\n <th>Week 12<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Feeding<\/td>\n <td>Independent<\/td>\n <td>Independent<\/td>\n <\/tr>\n <tr>\n <td>Bathing<\/td>\n <td>Required assistance<\/td>\n <td>Independent (with shower chair)<\/td>\n <\/tr>\n <tr>\n <td>Dressing (lower body)<\/td>\n <td>Required assistance<\/td>\n <td>Independent with adaptive techniques<\/td>\n <\/tr>\n <tr>\n <td>Meal Preparation<\/td>\n <td>Required assistance<\/td>\n <td>Independent (light tasks)<\/td>\n <\/tr>\n <tr>\n <td>Household Cleaning<\/td>\n <td>Dependent<\/td>\n <td>Light tasks independently<\/td>\n <\/tr>\n <tr>\n <td>Outdoor Mobility<\/td>\n <td>Dependent<\/td>\n <td>Independent with walking stick<\/td>\n <\/tr>\n <tr>\n <td>Driving<\/td>\n <td>Dependent<\/td>\n <td>Not yet cleared (temporary restriction)<\/td>\n <\/tr>\n <tr>\n <td>Work<\/td>\n <td>Unable<\/td>\n <td>Office duties resumed with restrictions<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n\n <h3 class=\"subsection-heading\">Visual Progress Indicators<\/h3>\n <div class=\"card\" style=\"margin-top:16px;\">\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Walking Endurance<\/span>\n <span>25m to 450m<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-green\" style=\"width:90%;\"><\/div>\n <\/div>\n <\/div>\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Sitting Tolerance<\/span>\n <span>15min to 90min<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-blue\" style=\"width:85%;\"><\/div>\n <\/div>\n <\/div>\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Wrist Function<\/span>\n <span>Limited to routine self-care<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-blue\" style=\"width:75%;\"><\/div>\n <\/div>\n <\/div>\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Pain Reduction<\/span>\n <span>Severe to significantly reduced<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-green\" style=\"width:82%;\"><\/div>\n <\/div>\n <\/div>\n <div class=\"progress-bar-container\">\n <div class=\"progress-label\">\n <span>Overall Independence<\/span>\n <span>Dependent to mostly independent<\/span>\n <\/div>\n <div class=\"progress-track\">\n <div class=\"progress-fill fill-green\" style=\"width:80%;\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block\">\n <div class=\"author-section\">\n <div class=\"author-top\">\n <img decoding=\"async\" src=\"https:\/\/athomecare.in\/wp-content\/uploads\/2026\/01\/WhatsApp_Image_2026-01-05_at_8.06.17_PM-removebg-preview.png\" alt=\"Dr. Ekta Fageriya\" class=\"author-img\">\n <div>\n <div class=\"author-name\">Dr. Ekta Fageriya, MBBS<\/div>\n <div class=\"author-creds\">RMC Registration No. 44780 | Geriatric Medicine | 7 Years Clinical Experience<\/div>\n <\/div>\n <\/div>\n <div class=\"author-details-grid\">\n <div class=\"author-detail-item\">\n <strong>Specialization<\/strong>\n Geriatric Medicine\n <\/div>\n <div class=\"author-detail-item\">\n <strong>Clinical Experience<\/strong>\n 7 Years\n <\/div>\n <div class=\"author-detail-item\">\n <strong>Registration<\/strong>\n RMC No. 44780\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Supporting Clinical Documents<\/h2>\n <p>The following clinical documents formed the basis of this case study. All patient-identifiable information has been removed to protect privacy.<\/p>\n <div class=\"card\">\n <ul class=\"card-list\">\n <li><strong>Hospital discharge summary:<\/strong> Contained the complete diagnosis list, surgical details, medication prescriptions, and follow-up instructions. This document guided the entire home care plan.<\/li>\n <li><strong>Operative notes for left distal radius ORIF:<\/strong> Detailed the surgical approach, hardware used, and post-operative wound care instructions.<\/li>\n <li><strong>Radiology reports:<\/strong> X-ray and CT imaging reports confirming the fracture patterns, the stable classification of the pelvic and spinal fractures, and the post-operative position of the wrist hardware.<\/li>\n <li><strong>Follow-up imaging (Week 12):<\/strong> X-rays confirming satisfactory healing of the pelvic and wrist fractures and consolidation of the L2 compression fracture.<\/li>\n <li><strong>In-hospital physiotherapy assessment:<\/strong> Baseline evaluation of mobility, strength, and functional status at the time of discharge.<\/li>\n <li><strong>Medication prescription:<\/strong> List of prescribed medications including analgesics, DVT prophylaxis, and supplements.<\/li>\n <\/ul>\n <\/div>\n <div class=\"clinical-note\">\n <strong>Note on Documentation:<\/strong> This case study is based on clinical records documented during the patient’s care. No laboratory values, vital sign readings, or specific medication names were available in the provided records and have therefore not been included. All clinical statements are derived solely from the documented findings and outcomes.\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Recovery Outcome<\/h2>\n\n <div class=\"outcome-grid\">\n <div class=\"outcome-item\">\n <div class=\"label\">Mobility<\/div>\n <div class=\"value\">Walking 450m with a stick, up from 25m with a walker<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Pain<\/div>\n <div class=\"value\">Significantly reduced across all three fracture sites<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Wrist Function<\/div>\n <div class=\"value\">Independent self-care and light household tasks<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Sitting Tolerance<\/div>\n <div class=\"value\">90 minutes, up from 15 minutes at discharge<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Work Status<\/div>\n <div class=\"value\">Office-based duties resumed with activity restrictions<\/div>\n <\/div>\n <div class=\"outcome-item\">\n <div class=\"label\">Complications<\/div>\n <div class=\"value\">Zero falls, infections, or readmissions in 12 weeks<\/div>\n <\/div>\n <\/div>\n\n <h3 class=\"subsection-heading\">Remaining Challenges<\/h3>\n <p>At the 12-week mark, some limitations persisted. Driving had not yet been cleared due to the left wrist’s ongoing recovery and the need for full grip strength and reaction time. Heavy lifting and construction site supervision involving physical activity remained restricted. Long-term core strengthening would need to continue independently to maintain spinal stability and reduce the risk of chronic lower back pain.<\/p>\n\n <h3 class=\"subsection-heading\">Long-Term Care Considerations<\/h3>\n <p>The patient was advised to continue core strengthening exercises independently. Regular orthopedic follow-ups were scheduled to monitor fracture healing and guide the gradual lifting of activity restrictions. The treating surgeon would determine when Mr. Brar could safely return to full on-site construction supervision. The family was educated that the recovery trajectory for compression fractures can extend beyond 12 weeks and that patience with the process was important.<\/p>\n\n <div class=\"scenario-card\">\n <div class=\"scenario-label\">Family Perspective<\/div>\n <p>The patient’s wife reported that having a structured home care plan reduced her anxiety significantly. She stated that knowing a nurse was monitoring the wound and a physiotherapist was guiding the exercises gave her confidence that her husband was recovering safely. The attendant’s presence allowed her to manage household responsibilities and care for her father-in-law without feeling overwhelmed.<\/p>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <h2 class=\"section-heading\">Key Clinical Learnings<\/h2>\n\n <div class=\"doctor-card\">\n <div class=\"doctor-card-header\">\n <div class=\"doctor-icon\">\n <svg viewBox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 17.93c-3.95-.49-7-3.85-7-7.93 0-.62.08-1.21.21-1.79L9 15v1c0 1.1.9 2 2 2v1.93zm6.9-2.54c-.26-.81-1-1.39-1.9-1.39h-1v-3c0-.55-.45-1-1-1H8v-2h2c.55 0 1-.45 1-1V7h2c1.1 0 2-.9 2-2v-.41c2.93 1.19 5 4.06 5 7.41 0 2.08-.8 3.97-2.1 5.39z\"\/><\/svg>\n <\/div>\n <span class=\"doctor-card-title\">Clinical Insights from This Case<\/span>\n <\/div>\n <p>The following observations are drawn from this case and are relevant to healthcare professionals and families managing similar injuries:<\/p>\n <\/div>\n\n <div class=\"card\" style=\"margin-top:16px;\">\n <ul class=\"card-list\">\n <li><strong>Multi-site fractures require coordinated rehabilitation timing.<\/strong> The wrist could not begin active exercises until the surgical wound healed. The spine required bracing before core exercises could begin. The pelvis needed protected weight-bearing before gait training could progress. A single physiotherapist managing all three sites ensured that progress in one area did not compromise another.<\/li>\n <li><strong>The hospital-to-home transition is a high-risk period.<\/strong> Patients are often discharged when they are “stable” but still highly vulnerable. In this case, the patient could not sit, stand, or walk safely without assistance. Without a pre-arranged home care plan, the first few days at home could have resulted in a fall or wound complication.<\/li>\n <li><strong>Core stabilization is not optional for lumbar compression fractures.<\/strong> The lumbar brace provides external support, but long-term spinal stability depends on the strength of the surrounding muscles. Starting core exercises early and progressing them systematically was a key factor in the patient’s pain reduction and functional improvement.<\/li>\n <li><strong>Family education directly affects outcomes.<\/strong> Families who understand spinal precautions, fall prevention, and warning signs are better equipped to support safe recovery. In this case, the family’s adherence to the education provided likely contributed to the zero-complication outcome.<\/li>\n <li><strong>A walking stick is not a sign of failure.<\/strong> Progressing from a walker to a walking stick at 12 weeks represented meaningful functional improvement. The goal of rehabilitation is safe, functional independence, not the complete elimination of all assistive devices within an arbitrary timeframe.<\/li>\n <li><strong>Return to work is a clinical decision, not just a patient desire.<\/strong> The patient returned to office duties only after imaging confirmed fracture healing and the treating surgeon provided clearance with specific restrictions. Premature return to physical construction work could have compromised the healing pelvis or spine.<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"clinical-note\">\n <strong>Relevance for the Delhi NCR Region:<\/strong> Patients in Mohali, Chandigarh, Panchkula, and the broader Delhi NCR including <a href=\"https:\/\/athomecare.in\/chandigarh\/services\/home-healthcare-services-chandigarh-mohali-panchkula\" style=\"color:#92400E;text-decoration:underline;\">Maholi and surrounding areas<\/a> have access to professional home healthcare services that can manage complex post-discharge rehabilitation. This case demonstrates that with appropriate clinical support, patients with multiple orthopedic injuries can achieve meaningful recovery at home without the need for rehabilitation facility admission. <a href=\"https:\/\/athomecare.in\/orthopedic-surgery-recovery-at-home-in-delhi-the-role-of-physiotherapy\/\" style=\"color:#92400E;text-decoration:underline;\">Orthopedic surgery recovery at home<\/a> is a well-established model of care when the right clinical resources are in place.\n <\/div>\n <\/section>\n\n \n<section class=\"section-block\">\n <h2 class=\"section-heading\">Frequently Asked Questions<\/h2>\n\n <div class=\"faq-section-list\">\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>What does a stable L2 compression fracture mean?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n A stable compression fracture means the front portion of the vertebra has collapsed but the posterior (back) portion remains intact. The spinal canal is not compromised, and there is no risk of the bone fragments pressing on the spinal cord. This type of fracture can heal with conservative treatment such as bracing and physiotherapy, without the need for spinal surgery.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Why was only the wrist fracture treated with surgery?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n The distal radius fracture was displaced, meaning the bone fragments were not in their correct anatomical position. Without surgery to realign and fix them, the wrist would have healed in a deformed position, leading to long-term loss of function, pain, and possible early arthritis. The pelvic and spinal fractures were stable and in acceptable alignment, so they did not require surgical fixation.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>How long does it take for a pelvic fracture to heal?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Most stable pelvic fractures in adults take 8 to 12 weeks to show initial healing on X-rays. Full bone remodeling can continue for several months beyond that. In this case, satisfactory healing was confirmed on imaging at 12 weeks, which aligned with the expected timeline. The patient’s young age and absence of metabolic bone disease supported normal healing.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Why is DVT prophylaxis important after a fall with fractures?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Deep vein thrombosis (DVT) is a blood clot that forms in the deep veins, usually in the legs. Trauma, fractures, surgery, and prolonged immobility are all independent risk factors for DVT. When these factors occur together, as in this case, the risk is particularly high. DVT can lead to a pulmonary embolism, which is a life-threatening condition where the clot travels to the lungs. Blood-thinning medication reduces this risk significantly.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>What is the role of a lumbar brace in compression fracture recovery?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n A lumbar brace restricts excessive flexion, extension, and rotation of the lumbar spine. By limiting these movements, the brace reduces the mechanical stress on the fractured vertebra, allowing it to heal in a stable position. The brace provides external support while the patient gradually builds internal support through core muscle strengthening. It is typically worn during the early weeks of recovery and gradually weaned as the fracture heals and core strength improves.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Can a patient with multiple fractures recover at home safely?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Yes, provided certain conditions are met. The patient must be medically stable at the time of discharge. Professional home nursing must be in place for wound monitoring and complication surveillance. Physiotherapy must be structured and consistent. The home environment must be equipped with appropriate assistive devices. Family members must be educated on safety precautions and warning signs. When these elements are in place, as demonstrated in this case, home recovery can be safe and effective.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Why was a patient attendant needed for 12 hours a day?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n With three active fractures, the patient needed physical assistance for nearly all mobility-related activities during the early recovery phase. This included getting out of bed, using the toilet, bathing, and walking. The patient’s wife and elderly father could not safely provide this level of physical support. The attendant also ensured the lumbar brace was worn correctly, medications were taken on time, and exercises were performed as prescribed. As the patient’s independence improved, the attendant’s role shifted from physical support to supervision.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>When can a patient return to physical construction work after such injuries?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n The timeline for returning to physically demanding work varies significantly based on the specific fractures, the patient’s healing response, and the nature of the job. In this case, at 12 weeks, the patient was cleared only for office-based duties. Full return to on-site construction supervision involving walking on uneven surfaces, climbing, and potential heavy lifting would require complete fracture healing, full range of motion, adequate strength, and clearance from the treating orthopedic surgeon. This decision is made on an individual basis and cannot be generalized.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>What would have happened without professional home healthcare?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Without professional support, several risks would have been elevated. The surgical wound could have become infected without proper dressing technique. The patient could have fallen during unsupported transfers or walking attempts. Spinal precautions might not have been followed consistently, risking further displacement of the L2 fracture. DVT prophylaxis might not have been managed correctly. Physiotherapy might have been delayed, inconsistent, or improperly performed, leading to stiffness, weakness, and chronic pain. The family would have faced significant physical and emotional burden without clinical guidance.\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"faq-item\">\n <button class=\"faq-question\" onclick=\"toggleFaq(this)\">\n <span>Is home healthcare available in Mohali and nearby areas?<\/span>\n <svg class=\"faq-arrow\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#64748B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"6 9 12 15 18 9\"><\/polyline><\/svg>\n <\/button>\n <div class=\"faq-answer\">\n <div class=\"faq-answer-text\">\n Yes. Professional home healthcare services including nursing, physiotherapy, patient attendants, and medical equipment rental are available in Mohali, Chandigarh, Panchkula, and the broader Delhi NCR region including Gurgaon and Maholi. Services can be arranged based on the patient’s specific clinical needs, with care plans developed in coordination with the treating hospital and doctors.\n <\/div>\n <\/div>\n <\/div>\n\n <\/div>\n<\/section>\n \n <section class=\"section-block\">\n <div class=\"contact-section\">\n <h3 style=\"font-size:18px;font-weight:600;color:var(--text-primary);margin-bottom:20px;\">Contact AtHomeCare<\/h3>\n <div class=\"contact-grid\">\n <div class=\"contact-item\">\n <strong>Corporate Office<\/strong>\n <span>Unit No. 703, 7th Floor, ILD Trade Centre, D1 Block, Malibu Town, Sector 47, Maholi, Haryana 122018<\/span>\n <\/div>\n <div class=\"contact-item\">\n <strong>Phone<\/strong>\n <a href=\"tel:9910823218\">9910823218<\/a>\n <\/div>\n <div class=\"contact-item\">\n <strong>Email<\/strong>\n <a href=\"mailto:care@athomecare.in\">care@athomecare.in<\/a>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section-block\">\n <div class=\"disclaimer\">\n <strong>Medical Disclaimer<\/strong>\n Every patient is unique. The clinical outcomes, treatment decisions, and recovery timelines described in this case study are specific to this patient and should not be generalized. Treatment decisions must always be made by qualified healthcare professionals based on individual clinical assessment. Emergency symptoms such as sudden severe pain, numbness, weakness, difficulty breathing, or loss of consciousness require immediate hospital care. Home healthcare complements, but does not replace, emergency medical services or hospital-based treatment. This article is intended for informational purposes and does not constitute medical advice.\n <\/div>\n <\/section>\n\n \n <section class=\"section-block content-area\">\n <div class=\"card card-green\">\n <div class=\"card-label card-label-green\">Summary<\/div>\n <p style=\"font-size:14px;color:var(--text-secondary);line-height:1.8;margin:0;\">Recovery after a fall from height involving pelvic, spinal, and upper-limb injuries requires a carefully coordinated rehabilitation program even after hospital discharge. <a href=\"https:\/\/athomecare.in\/home-nursing-athomecare\/\">Home nursing<\/a>, <a href=\"https:\/\/athomecare.in\/physiotherapy-at-home-gurgaon-expert-care-call-9910823218\/\">physiotherapy<\/a>, caregiver education, assistive devices, and gradual functional training help promote fracture healing, restore mobility, prevent complications, and support a safe return to independent living and employment. This case demonstrates that with appropriate clinical support at home, even patients with multiple orthopedic injuries can achieve meaningful functional recovery without the need for institutional rehabilitation admission.<\/p>\n <\/div>\n <\/section>\n\n <\/div>\n <\/main>\n\n <footer>\n <div class=\"container\">\n <p>© 2026 AtHomeCare. All rights reserved. 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