ArticleArchives of orthopaedic and trauma surgery2019
Patient-reported quality of life and pain after permissive weight bearing in surgically treated trauma patients with tibial plateau fractures: a retrospective cohort study.
Article in Archives of orthopaedic and trauma surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Risk for total knee arthroplasty after tibial plateau fractures: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Early weight bearing in tibial plateau fractures treated with ORIF: a systematic review of literature.Journal of orthopaedic surgery and research · 2022Pooled it
- Immediate weight-bearing after tibial plateau fractures internal fixation results in better clinical outcomes with similar radiological outcomes: a randomized clinical trial.International orthopaedics · 2025Trial
- Effect of early weight bearing program with conventional physiotherapy on functional outcomes in surgically treated proximal tibia fracture: a pilot randomized controlled trial.Archives of orthopaedic and trauma surgery · 2024Trial
- Effectiveness of permissive weight bearing in surgically treated trauma patients with peri- and intra-articular fractures of the lower extremities: a prospective comparative multicenter cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Trial
- Healthcare professionals consensus on purpose, content and frequency of physical activity for older adults during the non-weight-bearing rehabilitation: an iterative consensus study.European geriatric medicine · 2026Article
- Comparative Outcomes of Single- Versus Dual-Incision Approaches for Open Reduction and Internal Fixation of Complex Tibial Plateau Fractures.Journal of clinical medicine · 2025Article
- Radiological and Functional Assessment of Tibial Plateau Fractures Managed with Locking Compression Plates: A Prospective Study.Journal of orthopaedic case reports · 2025Article
- Early Versus Delayed Weight-Bearing Following Tibial Plateau Fracture Surgery: A Systematic Review and Meta-Analysis.Cureus · 2025Review
- Diagnostic Predictors of Recovery Outcomes Following Open Reduction and Internal Fixation for Tibial Plateau Fractures: A Retrospective Study Based on the Schatzker Classification.Diagnostics (Basel, Switzerland) · 2025Article
- Comments on "Does early and late weight bearing have an effect in the results of elderly tibial plateau fractures with internal fixation? A Multicenter (TRON Group) Study".Indian journal of orthopaedics · 2025Article
- Early Postoperative Gait Analysis in Elderly Patients Following Hip Fracture Surgery.Sensors (Basel, Switzerland) · 2025Observational
- 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
- Long-term surgical outcomes of open reduction and internal fixation (ORIF) in patients with Hoffa-like tibial plateau fractures: a clinical study and analysis.International orthopaedics · 2024Article
- Article
- Permissive Weight Bearing in Proximal Humeral Fracture Management: A Survey-Based Inquiry in the Netherlands.Cureus · 2024Article
- Does Early and Late Weight Bearing Have an Effect on the Results of Elderly Tibial Plateau Fractures with Internal Fixation?: A Multicenter (TRON Group) Study.Indian journal of orthopaedics · 2024Article
- Surgical suction filter-derived bone graft displays osteogenic miRNA and mRNA patterns.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Are the non-weight bearing guidelines for the after treatment of calcaneal fractures still decisive? A Dutch survey among orthopaedic and trauma surgeons.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Weight-bearing Guidelines for Common Geriatric Upper and Lower Extremity Fractures.Current osteoporosis reports · 2023Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionA Dutch survey among orthopedic surgeons and trauma surgeons showed that almost 90% of the surgeons do not follow protocols regarding the weight bearing aftercare for tibial plateau fractures. Clinical studies comparing permissive weight bearing (PWB) versus restricted weight bearing (RWB) after surgically treated tibial plateau fractures are not available. The aim of this study was to inventory potential differences in quality of life and pain, and number of complications in patients with surgically treated tibial plateau fractures who followed a PWB regime, relative to those that followed a RWB regime. MATERIALS AND
methodsThis retrospective cohort study included surgically treated trauma patients with tibial plateau fractures, who underwent rehabilitation according to PWB or RWB between 2005 and 2015. Data such as demographics, patient-reported quality of life and pain, and patient outcome were collected.
resultsThis cohort study included 91 patients with a tibial plateau fracture (31 and 60 patients in the PWB and RWB groups respectively). No significant between-group differences in either age or gender were found. However, a significant difference in fracture type was found between groups, (p = 0.04). No significant differences were found in either patient-reported SF-12 or VAS scores between the PWB group and RWB group. Time to full weight bearing was significantly shorter in the PWB than in the RWB group, i.e., 14.7 versus 20.7 weeks, (p = 0.02). No significant differences were found regarding postoperative complications between the PWB and the RWB groups, i.e., 6.5% versus 10.0%, respectively.
conclusionPWB after surgically treated tibial plateau fractures is safe and is related to a significantly reduced time to full weight bearing with no significant differences in patient-reported quality of life and pain or complication rates.
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