TY - JOUR TI - Non-standard physiotherapy in the treatment of avascular necrosis of the distal femoral epiphysis – case study AU - Zyznawska, Joanna AU - Wicher, Dominika TI - Non-standard physiotherapy in the treatment of avascular necrosis of the distal femoral epiphysis – case study AB - Avascular necrosis is a disease characterized by the formation of necrotic changes in the bone tissue without the involvement of pathogenic microorganisms. This disease mainly occurs in the area of the femoral head, tibial tuberosity, and heel tumor. One of the elements of treatment is the surgical removal of dead tissue, followed by physical therapy to restore the lost function. The aim of the study was to presented the model of rehabilitation of the patient diagnosed with avascular necrosis in atypical area – the area of the medial femoral condyle in the left knee joint. Material and methods: A 24-year-old patient after the removal of medial condyle necrosis of the femur. Accompanying symptoms: severe pain, swelling, difficulty in movement and limited mobility in the left knee joint. An individually tailored physiotherapeutic procedure was implemented with a variety of techniques in the field of physical therapy, kinesiotherapy and manual therapy, in some cases deviating from the accepted norms. Results: The proposed rehabilitation procedure led to the restoration of the proper joint homeostasis. VL - Volume 37 (2022) IS - Volume 37, Issue 1 PY - 2022 SN - 1234-7175 C1 - 1898-2026 SP - 21 EP - 30 DO - 10.4467/18982026SZL.22.003.15994 UR - https://ejournals.eu/en/journal/sztuka-leczenia/article/niestandardowe-postepowanie-fizjoterapeutyczne-w-leczeniu-jalowej-martwicy-dalszej-nasady-kosci-udowej-studium-przypadku KW - avascular necrosis KW - distal femoral epiphysis KW - physiotherapy KW - thrombosis