The therapy that a patient receives before and after surgery is just as important as the operation.

This website is designed to give you access to information about the rehabilitation of patients being treated by Manchester’s Specialist Limb Reconstruction Unit at Manchester Royal Infirmary.

Most, but not all, of our patients will have a circular frame. Patients undergoing limb reconstruction surgery often require intensive physiotherapy to maximise function, prevent stiffness and maintain muscle strength and endurance. 

If muscle strength and endurance can be maintained before, during and after frame treatment, the patient’s musculature in the affected limb and elsewhere will be able to cope with the demands of independent mobilisation. Although some frames will span joints and this will prevent any movement of that particular joint, the rest of the limb and core needs to be mobilised and optimised for when the frame is removed.

It is important that we encourage patients to live as normal a life as possible, including exercise, work, sexual activity and especially weight bearing.

As patients come for treatment from the whole NorthWest region, it is important that physiotherapists who see them locally are aware of the aims, objectives and routines of treatment.

Patients undergoing deformity correction and limb lengthening need pre-hab to stretch muscle groups that will resist deformity correction. Limb lengthening can lead to contractures across joints unless the muscles can be stretched at the same rate as the bone.

The physiotherapists at MRI will be able to provide advice to patients under our care, and we anticipate that protocols will be published on our website soon for different types of frame.

Please see the videos detailing the exercises that are useful for patients