Bone fracture

After a bone has healed successfully, the affected individual can once again perform all activities as before in most cases since bone tissue can fully regenerate.

Even when successfully healed, affected individuals can feel weakness for some time, preventing them from achieving full physical performance again. This is due to the bone itself on the one hand, since it has to get used to the load again, and to the training deficit of the muscular tissue and ligaments on the other hand.

kybun helps you gently train your body without overstraining it after the successful healing of a fracture. The bone can gradually get used to increased loads while the muscular tissue and ligament apparatus are strengthened.

 

Definition

A broken bone or fracture is a break in the continuity of a bone with the formation of two or more pieces (fragments), and with or without shifting (dislocation).

Unlike other tissue, which usually heals as scar tissue of lower quality, bones are able to fully repair themselves. Regardless of primary or secondary healing of the fracture, the full integrity and stability of the bone is restored by the end of the healing process. How long this takes depends on which bone is affected, among other things. Four to six weeks is normal for metacarpus or forearm bones, while the shin bone takes ten to twelve weeks.

This process is impaired in cases of bone fracture healing disturbance. Delayed healing of a fracture means that a broken bone is not exhibiting any signs of bone healing within the normal healing time – which depends on the affected bone as explained above. If the fracture fails to heal for more than six months, it is called pseudarthrosis.

Causes

Bone fractures are usually caused by direct or indirect force during an accident, a fall, impact or blow. A bone can also fracture partly or entirely due to acute, repeated excessive strain. An example of such a fatigue fracture is a marsh fracture of a metatarsus bone, also called a stress fracture.

A broken bone often comes with other injuries. On the one hand, the bone fracture itself can damage neighbouring vessels and nerves or a broken bone that extends into a joint may be accompanied by a joint dislocation. The accident can cause multiple injuries, including injuries to internal organs, intracranial injuries or major wounds and lesions. Particularly severe multiple injuries constitute a polytrauma.

Possible causes of bone fracture healing disorder:

  • Insufficient stability and failure to rest the fracture, too great a distance between the bone fragments, or soft tissue that protrudes into the fracture gap and prevents proper contact.
  • Smoking, nutritional disorders and underlying disorders that impair circulation, such as diabetes or osteoporosis, are among the physiological/biological factors that increase the risk of a bone healing disorder.
  • In cases of open fractures with severe damage to the surrounding tissue, there may also be insufficient circulation in the fracture area. A further important cause of bone healing disorders is infections in the bone itself or in the soft tissue around the fracture. There are also certain medications that inhibit wound healing in general and thus also the healing of bones. These include cortisone and the cytotoxic agents used in cancer treatment.

Long-term consequences

Normally, a simple fracture grows back together successfully following conservative therapy or surgical intervention, and bone function is completely restored.

But there can be complications in some cases. Here are a few examples:

  • Injuries to nerves, blood vessels, joints or other adjacent structures.
  • Compartment syndrome (risk is especially great in cases of lower leg breaks)
  • Infection
  • Pseudarthrosis (wound healing disorder)
  • Complex regional pain syndrome

Conventional therapy

Essentially, the decision must be made for either conservative fracture treatment, such as fixing the fracture with a plaster cast, or surgical treatment. Conservative treatment includes closed reduction, under general anaesthesia, of bone fragments that are out of position, with the subsequent application of a plaster cast. A surgical procedure usually involves the open reduction of bone fragments and fixation by means of osteosynthesis

The kybun principle of operation – being proactive

Following successful bone healing (complete bone fusion):

  • kybun, with its soft, elastic material, offers gentle training for the regeneration of muscle power and ligament stability. This stabilises the joints and restores your confidence in your body.
  • The impact of hard surfaces is absorbed, allowing the bone to gradually become accustomed to the greater load and reducing load-related pain.

With wound healing disorders:

  • As long as there is still a chance of healing, the fracture should definitely remain immobilised. kybun should not be used during immobilisation because both the kyBounder and the kyBoot are designed to mobilise the body.
  • For certain disorders (such as Charcot foot), or for existing pseudarthrosis for which there is no chance of healing, the situation must be evaluated on an individual basis.
  • In such cases, we recommend comprehensive consultation at the point of purchase, but also by the attending doctor, before you purchase a kyBoot. It is also very important that you try out the products (kyBoot and kyBounder) yourself in order determine whether they are beneficial for you.
    The use of a kyBounder is recommended in any case, since training with it is of limited duration. If, after increasing training intensity you notice that you feel good on the kyBounder and would like a training device for use while out and about, you can still purchase a kyBoot at a later time.
  • You will need to weigh the advantages and disadvantages of kybun:

Loads will be placed on the fracture in any shoe, including an orthopaedic shoe. In contrast to orthopaedic shoes, which stabilise the foot and tend to have a rigid construction, the kyBoot provides the foot with much more freedom of movement, which allows a physiological rollover of the foot even with a variety of musculoskeletal movement impairments. In the long term, you can train your muscles in this way and have a significant influence on a healthy gait pattern.

Where there is poor foot sensitivity (as occurs in diabetes or Charcot foot), the affected person may have difficulty in recognising initial reactions in time to properly adjust dosage (wearing duration). The affected person must be conscious of this and should only wear the kyBounder/kyBoot for short periods in the beginning.

Initial reactions

[Translate to English:] Spezifische Erstreaktionen nach einem konsolidierten Knochenbruch

Da der Knochen, auch nach dem erfolgreichen Zusammenwachsen, anfangs druckempfindlich ist, kann die Instabilität des kyBoot/ kyBounders verunsichern und eine grosse Herausforderung sein. Nach einem Knochenbruch muss der Betroffene ausserdem zuerst wieder das Vertrauen in seinen Körper zurückfinden, das braucht Zeit und ein sorgfältiges Aufbautraining. Bitte lesen Sie die "Anwendungstipps" und wenden Sie sich bei weiteren Fragen an einen kybun-Händler vor Ort.

 

Für allgemeine Erstreaktionen bei kyBounder und kyBoot Neueinsteigern, klicken Sie hier: Erstreaktionen 

kybun exercises

For information about the special kyBoot exercises or the basic kyBounder exercises , please click here: kybun exercises

Application tips

  • Do not use kybun products until the fracture is stable.
  • Exceptions include certain disorders and pseudarthroses, for which kybun use must be evaluated and adapted individually. Please contact a local kybun dealer where you can test the kybun products and receive personal advice.
  • Selecting the right dosage – adjusting the duration of wearing the kyBoot/standing on the kyBounder to your personal needs – is very important in the beginning. It is better to walk shorter distances on ordinary surfaces at first, so your body can adjust to the challenge of walking with the kyBoot/standing on the kyBounder.
  • Gradually increase the duration of use at your discretion until the strength and coordination of your feet is sufficient for walking in the kyBoot for several hours. For some people, this is possible after just a few days while others take longer. It is highly individual.
    The kyBoot is a training device and can, but does not have to, become an everyday shoe later.
  • Be sure to maintain correct foot position on the kyBounder/in the kyBoot. This means that the foot should stand straight on the soft, elastic material without lateral/medial rolling of the ankle joint. Any lateral/medial rolling of the ankle joint on the kyBounder/in the kyBoot is usually not the fault of kybun but is caused by foot weakness , which has to be gradually alleviated through training. You will notice immediately when you place one-sided strain on your feet because the sole yields in the corresponding area.
  • Try to focus on the foot position and correct lateral/medial rolling of the ankle joint. This strengthens your foot musculature so that, with time, you no longer tip sideways. Make sure that your body does not cramp up. Read more under ‘Lateral/medial rolling of the ankle joint’.
  • Be sure not to take steps that are too long; that makes it easier to stabilise the foot over the kyBoot sole and reduces the tendency towards lateral/medial rolling of the ankle joint.
  • If walking upright in the kyBoot is no longer possible or you notice that you are ‘standing beside the shoe’ and are unable to correct this any longer, take this as a sign of body fatigue that means that you should take a short break from the kyBoot.
  • If your foot musculature is weak, it may make sense to acquire a model with the second generation sole when you first purchase the kyBoot. This sole is more stable in the midfoot section. (Please consult your kyBoot dealer for further information.)
  • Try various kyBoot shoes; some models with a higher cut provide more stability.
  • If you still feel too insecure walking in the kyBoot, the kyBounder is the ideal device to carefully train and develop the foot and leg musculature. Please give your body time, and do not give up too quickly.
    The kyBounder is available in three different thicknesses. This allows you to choose the thickness that is most comfortable for you (the thicker, the more unstable, the more intensive the training).
    You can also hold on to a fixed object if you need additional support when using the kyBounder.

Opinions/customer testimonials

I’ve spent 30 years working in retail while wearing shoes that were stylish but far too uncomfortable. This has unfortunately taken its toll on my legs. I was suffering from Morton’s neuroma, a bunion, pain in my knees and lumbar spine, and on top of that, I fractured my femoral neck last summer after having an accident. It was virtually impossible for me to walk or stand without feeling pain, even when wearing flat shoes with insoles. Fortunately, a friend of mine recommended the kyBoot shoes to me. She had been wearing a pair for a while herself, and was familiar with how the shoe’s enormous benefits. Purchasing a pair was definitely worth it for me as well. The comfortable air-cushioned insole makes walking a genuine pleasure – like you are walking on cotton. I also find the shoe very stylish, and people often come up to me to give their compliments. It was quite hard for me to choose just one pair from the large selection of models available – I’m sure this won’t be the last pair that I will buy. 
I’ve been a good dancer in Denmark for many years. I did not know that dancing would break my bones. I’ve had surgery but couldn’t walk very well. I bought a pair of shoes from kyBoot shop in Denmark and thought that these would help to solve my problem. Within two months I began to walk better again. I lost about 8 kg of my weight over 7-8 months. During that time, I bought six pairs of sandals and shoes from kyBoot. These shoes have changed my life and I’m also able to walk faster. I am free of insoles, which I used for many years. I am very happy with my new life.
On October 1993 I did a forced landing near an air field at the northern part of Israel. On take off, and few minutes air born I've noticed a sudden engine cut, did a rapidly  forced landing in a very bad field for landing, plenty of boulders and rocks. In these circumstances you can choose the right place - you take what you find. Fortunately the passenger didn't suffer any damage,but I broke badly my right ankle. It took me one year and a half of crutches and 3 orthopaedic operations to walk again. Until now I couldn't find  suitable shoes though I  tryed all possible firms and styles. I could walk, but always with pain and uncomfortable sensation. Two months ago a friend from Israel,and shoed me his shoes, which was of your production. I tried them and felt good.  I use those shoes for about one month and a half now,and for the first time after the incident I can walk again without lame ,pain or inconvenience and for relatively long courses even up the hill side. So, in short ,I am very happy now with your shoes and will buy some others for the next winter.
Guten Tag
Was ich in den letzten 16 Monaten erlebt habe, klingt wie ein Wunder. Zu verdanken habe ich es, davon bin ich überzeugt, zu einem sehr grossen Teil Ihrem Schuhwerk. Ich (56) trage regelmässig, passend zur Situation, den Trekkingschuh, die Sandale und im Winter den Winterstiefel. Sport gehört zu meinem Leben, seit ich Kind bin: Kunstturnen bis ich sechzehn war, Skifahren seit ich zwei bin und dazu gelegentlich zehn weitere Sportarten. An der Schule unterrichte ich Sport, habe nach dem Skirennsport (nationale Ebene, kein Spitzensport) die Berufsausbildung zum Ski- und Snowboardlehrer gemacht. Von Dezember bis Mai fahre ich leidenschaftlich gerne Ski und unterrichte auch.
Am 15. Februar 2013 bin ich in Montafon beim Freeriden nach einem Sprung über eine natürliche Geländeform in ein Loch gesprungen. Resultat s. Beurteilung aus folgendem MR -Bericht, Originaltext:
"Grad III- Läsion des medialen Seitenbandes proximal. Schräg von der Basis in die Unterfläche verlaufende Rissbildung im medialen Meniskushinterhorn. Lateraler Meniskus intakt. Nicht dislozierte Impressionsfraktur am latero-ventralen Tibiakopf, Spongiosafraktur am lateralendorsalen Kondylus. Keine Ruptur des vorderen oder hinteren Kreuzbandes.Wahrscheinlich vorbestehende leichte retropatelläre Chondropathie (Grad I). Grosser Erguss. Bakerzyste an typischer Stelle."
Nach langem Hin-und Her folgte ich mit meinem Entschluss dem Rat des Chirurgen, der von einer Operation abgesehen hatte. Das bedeutete, erst gar keine Belastung, dann das Eigengewicht des Beines und schliesslich nach 8 Wochen, Krücken gänzlich weglassen. Dank des weichen Auftritts, wagte ich von Beginn weg in Schritten zu gehen(durch positive psychische Beeinflussung). Es folgten erste Veloversuche und am 6. Juli die erste grosse Biketour von Interlaken über Habkern, Lombachalp, Sörenberg, Panoramastrasse, Giswil. Ohne Schmerzen!!! Am 31. Oktober stand ich auf dem Diableretsgletscher erstmals wieder auf den Skiern. Dann folgte eine lange Saison, natürlich inklusive (nachgeholte) Freeride-Week im Montafon, die ich vor einem Jahr leider nicht hatte beenden können. Seit Mai ist die Saison abgeschlossen und ich zeige im Turnen meinen Schülern ab und zu Sprünge vom Minitramp vor. d.h.:
Volle Bewegungsfreiheit und seit August 2013 NIE MEHR SCHMERZEN gehabt, dafür aber fast rund um die Uhr (Sandalen trage ich im Winter als Hausshuhe) einen Kybun-Schuh an den Füssen.
Dazu kommt, dass bei mir vor Jahren ein Bandscheibenvorfall diagnostiziert worden ist. Damals habe ich MBT-Schuhe getragen. NIE MEHR RÜCKENPROBLEME gehabt!
Dem Schicksal, dem behandelnden Arzt, der Therapeutin- ihnen allen bin ich zu grossem dank für besten Beistand verpflichtet.
ABER GENAU ZU DIESER GRUPPE GEHÖRT AUCH IHRE ERFINDUNG, der KYBUN-SCHUH.
Das grosse Erstaunen in meinem Freundes-Familien-Sportlerkreis über den sensationellen Heilungsverlauf meines Unfallknies (seit November 2013 ist das Dossier beim Arzt abgeschlossen, seit Oktober gehe ich nicht mehr in die Physio) und meine Überzeugung, dass Ihre Schuhe mit höchster Wichtigkeit zur Genesung beigetragen haben, bewogen mich zu diesem Schreiben.
Vielleicht tragen Antworten Ihrer Kunden, wie diese hier, auch dazu bei, dass Krankenkassen künftig einen Beitrag an die Anschaffungskosten leisten.
Ich hoffe, dass Sie weiterhin innovativ forschen und entwickeln und freue mich, bei Ihnen als Kunde in besten Händen zu sein.
Mit riesiger Dankbarkeit und freundlichen Grüssen,
Doris Blum
Lesen Sie hier  PDF (103 KB) das Original-Mail als pdf.
Nach einem doppelten, offenen Beinbruch mit langem Heilungsprozess begann ich den kyBoot zu tragen. Bereits nach wenigen Wochen stellte ich eine positive Veränderung der gesamten Bewegungsabläufe fest. Die Schmerzen im Bein, den Füssen und dem Rücken verschwanden. Die verschiedenen Modelle machen es mir möglich, täglich gut beschuht unterwegs zu sein. Sei es im Gästebetrieb, mit den Pferden oder auf der Weide.