{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:12:39Z","timestamp":1785521559051,"version":"3.56.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Comminuted patellar fractures are challenging injuries, and delays in post\u2010operative physiotherapy significantly increase the risk of arthrofibrosis and long\u2010term disability, particularly in resource\u2010limited settings. A 40\u2010year\u2010old male with multiple comorbidities presented 53\u2009days after open reduction and internal fixation (ORIF) for a comminuted patellar fracture, suffering severe knee stiffness. Initial assessment revealed profound functional impairment: knee flexion limited to 10\u00b0, a Visual Analog Scale (VAS) pain score of 8\/10, a Kujala score of 19\/100, and a Lysholm score of 7\/100. A 4\u2010week rehabilitation program consisting of supervised Continuous Passive Motion (CPM) (1\u2009h\/day, 4\u2009days\/week) and a structured home exercise program was implemented. CPM parameters were progressed based on pain (VAS \u2264\u20094) and tolerance. After 4\u2009weeks, the patient achieved 110\u00b0 of knee flexion, pain reduced to 0\/10 at rest and 3\/10 with movement, and functional scores improved dramatically (Kujala: 69\/100; Lysholm: 76\/100). This case demonstrates that a combined CPM and home exercise protocol can yield substantial functional recovery even when rehabilitation is initiated late following a complex patellar fracture. It highlights a feasible and effective intervention model for resource\u2010constrained environments where delayed rehabilitation is common.<\/jats:p>","DOI":"10.1002\/ccr3.71806","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T11:51:15Z","timestamp":1767354675000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Continuous Passive Motion in the Rehabilitation of a Comminuted Patellar Fracture Following Delayed Physiotherapy Initiation: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4685-5050","authenticated-orcid":false,"given":"Mohammad","family":"Ali","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Uttara Adhunik Medical College Hospital  Dhaka Bangladesh"},{"name":"Doctor of Physical Therapy Program, College of Health, School of Physical Therapy and Rehabilitation Science University of Montana  Missoula Montana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Miller","sequence":"additional","affiliation":[{"name":"Doctor of Physical Therapy Program, College of Health, School of Physical Therapy and Rehabilitation Science University of Montana  Missoula Montana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_2_13_2_1","first-page":"223","volume-title":"Orthopedic Trauma Call for the Attending Surgeon","author":"Stinner D. 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