Evidence map›Paper›PMID 29391063›Full record

ArticleBMC surgery2018

Permissive weight bearing in trauma patients with fracture of the lower extremities: prospective multicenter comparative cohort study.

Pishtiwan H S Kalmet, Guido Meys, Yvette Y V Horn, Silvia M A A Evers, Henk A M Seelen, Paul Hustinx, Heinrich Janzing, Alexander Vd Veen, Coen Jaspars, Jan Bernard Sintenie and 3 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in BMC surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. The role of early weight bearing in the aftertreatment of unilateral displaced intraarticular calcaneal fractures: a systematic review and pooled analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Challenges in Talus Fracture-dislocations - A Case Report.Journal of orthopaedic case reports · 2023
    Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Pishtiwan H S KalmetDepartment of Traumatology, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands. pishtiwan.kalmet@mumc.nl.
Guido MeysAdelante Rehabilitation Center, Hoensbroek, The Netherlands.
Yvette Y V HornAdelante Rehabilitation Center, Hoensbroek, The Netherlands.
Silvia M A A EversMaastricht University, School for Public Health and Primary Care: CAPHRI, Maastricht, The Netherlands.
Henk A M SeelenAdelante Rehabilitation Center, Hoensbroek, The Netherlands.
Paul HustinxZuyderland Medical Center, Heerlen, The Netherlands.
Heinrich JanzingViecuri Medical Center, Venlo, The Netherlands.
Alexander Vd VeenCatharina Hospital, Eindhoven, The Netherlands.
Coen JasparsMaxima Medical Center, Veldhoven, The Netherlands.
Jan Bernard SintenieElkerliek Hospital, Helmond, The Netherlands.
Taco J BlokhuisDepartment of Traumatology, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
Martijn PoezeDepartment of Traumatology, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
Peter R G BrinkDepartment of Traumatology, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
Maastricht University · NLAdelante · NLRadboud University Nijmegen · NLElkerliek Ziekenhuis · NLVieCuri Medisch Centrum · NLZuyderland Medisch Centrum · NL

Funding

ZonMw 241.274 euro
6 · The paper itself

Abstract

backgroundThe standard aftercare treatment in surgically treated trauma patients with fractures around or in a joint, known as (peri)- or intra-articular fractures of the lower extremities, is either non-weight bearing or partial weight bearing. We have developed an early permissive weight bearing post-surgery rehabilitation protocol in surgically treated patients with fractures of the lower extremities. In this proposal we want to compare our early permissive weight bearing protocol to the existing current non-weight bearing guidelines in a prospective comparative cohort study. METHODS/

designThe study is a prospective multicenter comparative cohort study in which two rehabilitation aftercare treatments will be contrasted, i.e. permissive weight bearing and non-weight bearing according to the AO-guideline. The study population consists of patients with a surgically treated fracture of the pelvis/acetabulum or a surgically treated (peri)- or intra-articular fracture of the lower extremities. The inclusion period is 12 months. The duration of follow up is 6 months, with measurements taken at baseline, 2,6,12 and 26 weeks post-surgery. PRIMARY OUTCOME MEASURE: ADL with Lower Extremity Functional Scale. Outcome variables for compliance, as measured with an insole pressure measurement system, encompass peak load and step duration. DISCUSSION: This study will investigate the (cost-) effectiveness of a permissive weight bearing aftercare protocol. The results will provide evidence whether a permissive weight bearing protocol is more effective than the current non-weight bearing protocol.

trial registrationThe study is registered in the Dutch Trial Register ( NTR6077 ). Date of registration: 01-09-2016.

Indexed as

AdultFemaleFractures, BoneHumansIntra-Articular FracturesLower ExtremityMaleMiddle AgedProspective StudiesTreatment OutcomeWeight-BearingComplicationsFractures of the lower extremitiesPermissive weight bearingTrauma patients

Identifiers

PMID29391063
PMCPMC5796499
OpenAlexW2794512523

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.