Observational studyInternational orthopaedics2017
Weight-bearing recommendations after operative fracture treatment-fact or fiction? Gait results with and feasibility of a dynamic, continuous pedobarography insole.
Observational study in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04378270 (Validation of a Novel Foot Offloading Device), which is not on this map. Cited by 48 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Validation of a Novel Foot Offloading Device
Who cites it
48 citing papers in PubMed, 96 citations in OpenAlex.
- Biofeedback's Effect on Orthosis Use: Insights from Continuous Six-Week Monitoring of Ankle Fracture Loading.Sensors (Basel, Switzerland) · 2025Trial
- Weight-bearing or non-weight-bearing after surgical treatment of ankle fractures: a multicenter randomized controlled trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Trial
- Identification of biomechanical alterations associated with nonunion after tibial shaft fractures using musculoskeletal simulation based on motion capture and instrumented insole data.Archives of orthopaedic and trauma surgery · 2026Article
- Effect of Continuous Audio Biofeedback During Postoperative Partial Weight Bearing in Older Patients-An Exploratory Study.Journal of clinical medicine · 2026Article
- Effect of muscle atrophy on fracture healing: insights from a tibial musculoskeletal-finite element model.Biomechanics and modeling in mechanobiology · 2026Article
- Partial Weight-Bearing after Lower Extremity Surgery: A Review of Current Standards, Innovations, and Patient Compliance.The archives of bone and joint surgery · 2026Review
- Predictors of immobility following surgery for periprosthetic hip fractures.Archives of orthopaedic and trauma surgery · 2025Article
- Review
- [Osteosynthesis of subtrochanteric femoral fractures in adults].Chirurgie (Heidelberg, Germany) · 2025Article
- Permissive Weight-Bearing after Fixation of Displaced Acetabular Fractures: A Case Series Study.Clinics in orthopedic surgery · 2025Article
- Early functional mobility predicts return to baseline function and discharge disposition after distal femur fractures in elderly.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Rehabilitation Protocols for Surgically Treated Acetabular Fractures in Older Adults: Current Practices and Outcomes.Journal of clinical medicine · 2025Review
- From Injury to Full Recovery: Monitoring Patient Progress Through Advanced Sensor and Motion Capture Technology.Sensors (Basel, Switzerland) · 2025Article
- Partial weight bearing and long-term survival outcomes in extracapsular hip fractures treated with trochanteric Gamma3 nails.BMC musculoskeletal disorders · 2025Article
- Predicting the effect of individual weight-bearing on tibial load and fracture healing after tibial plateau fractures-introduction of a biomechanical simulation model.Frontiers in bioengineering and biotechnology · 2025Article
- Weight-Bearing Monitoring Devices in Lower Extremity Fractures: A Scoping Review.Orthopedic research and reviews · 2025Review
- Longitudinal weight and plantar pressure distribution while standing after tibial or malleolar fractures in patients with or without fracture union.Scientific reports · 2024Article
- Predicting the Healing of Lower Extremity Fractures Using Wearable Ground Reaction Force Sensors and Machine Learning.Sensors (Basel, Switzerland) · 2024Article
- Partial weight-bearing following ankle fracture: what's the actual load in early recovery?Archives of orthopaedic and trauma surgery · 2024Article
- Characteristic Changes of the Stance-Phase Plantar Pressure Curve When Walking Uphill and Downhill: Cross-Sectional Study.Journal of medical Internet research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRehabilitation after lower-extremity fractures is based on the physicians' recommendation for non-, partial-, or full weight-bearing. Clinical studies rely on this assumption, but continuous compliance or objective loading rates are unknown. The purpose of this study was to determine the compliance to weight-bearing recommendations by introducing a novel, pedobarography system continuously registering postoperative ground forces into ankle, tibial shaft and proximal femur fracture aftercare and test its feasibility for this purpose.
methodsIn this prospective, observational study, a continuously measuring pedobarography insole was placed in the patients shoe during the immediate post-operative aftercare after ankle, tibial shaft and intertrochanteric femur fractures. Weight-bearing was ordered as per the institutional standard and controlled by physical therapy. The insole was retrieved after a maximum of six weeks (28 days [range 5-42 days]). Non-compliance was defined as a failure to maintain, or reach the ordered weight-bearing within 30%.
resultsOverall 30 patients were included in the study. Fourteen (47%) of the patients were compliant to the weight-bearing recommendations. Within two weeks after surgery patients deviated from the recommendation by over 50%. Sex, age and weight did not influence the performance (p > 0.05). Ankle fracture patients (partial weight-bearing) showed a significantly increased deviation from the recommendation (p = 0.01).
conclusionsOur study results show that, despite physical therapy training, weight-bearing compliance to recommended limits was low. Adherence to the partial weight-bearing task was further decreased over time. Uncontrolled weight-bearing recommendations should thus be viewed with caution and carefully considered as fiction. The presented insole is feasible to determine weight bearing continuously, could immediately help define real-time patient behaviour and establish realistic, individual weight-bearing recommendations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.