ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019
The association between weight-bearing status and early complications in hip fractures.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06212622 (Is the Rate of Early Mobilisation in Hip Fracture Patients Using Alfentanil Better Than Standard Opioid Analgesia), which is not on this map. Cited by 40 papers, 4 of them syntheses that pooled it.
What it found
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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.
Is the Rate of Early Mobilisation in Hip Fracture Patients Using Alfentanil Better Than Standard Opioid Analgesia (REHAB): a Prospective Cohort Study
Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Intramedullary fixation versus arthroplasty in the treatment of geriatric trochanteric fractures: a systematic review and meta-analysis.BMC geriatrics · 2026Pooled it
- A systematic review of evidence regarding the association between time to mobilization following hip fracture surgery and patient outcomes.Bone & joint open · 2025Pooled it
- Combined nail-plate constructs in the management of osteoporotic native distal femoral fractures: a systematic review of the available evidence.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- The effectiveness of optimal exercise-based strategy for patients with hip fracture: a systematic review and Bayesian network meta-analysis.Scientific reports · 2023Pooled it
- Healthcare utilization following hip fractures based on social vulnerability status in the US: an analysis of 2016-2020 nationwide readmissions data.Archives of orthopaedic and trauma surgery · 2026Article
- Management preferences for hip fracture care in Latin America.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Internal fixation versus revision arthroplasty for Vancouver B2-B3 fractures: mortality and functional outcomes in frail patients. Insights from the PIPPAS study of 485 patients.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Observational
- Strategies to Prevent Surgical Site Infections in Orthopaedic Surgery: A Literature Review.Cureus · 2025Review
- Clinical Outcomes of the Cephalomedullary Nail with Supplementary Screws versus Multiple Cannulated Screws for Femoral Neck Fracture in Young and Active Patients.Hip & pelvis · 2025Article
- Immediate versus delayed weight bearing for fractures of the pelvis, acetabulum, distal femur, and proximal and distal tibia: a feasibility randomized controlled trial.Pilot and feasibility studies · 2025Article
- Weight-Bearing Approaches After Neck of Femur Fractures: A Narrative Review of Evidence and Outcomes.Cureus · 2025Review
- The feasibility, acceptability, safety, and effects of early weight bearing in humeral fractures - a scoping review.Disability and rehabilitation · 2025Article
- Predictors of Venous Thromboembolism Following Geriatric Distal Femur Fracture Fixation: Are These Patients at Higher Risk Compared With Hip Fracture Patients?Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Fragility Fracture Network Position on Unrestricted Weight-Bearing After Hip Fracture Surgery.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Risk Factors and Complications in Tibiotalocalcaneal (TTC) Arthrodesis: A Nationwide Database Comparison Between Traumatic Ankle Fracture and Osteoarthritis.Foot & ankle orthopaedics · 2025Article
- Racial and Ethnic Disparities in Providing Guideline-Concordant Care After Hip Fracture Surgery.JAMA network open · 2024Article
- Is immediate weight bearing safe for subtrochanteric femur fractures in elderly patients treated by cephalomedullary nailing? A multicentric study in one hundred eighty-two patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Complications and survival rates of subtrochanteric fractures are similar between short and long intramedullary nail fixation and independent of weight-bearing.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Severity of Complications after Locking Plate Osteosynthesis in Distal Femur Fractures.Journal of clinical medicine · 2024Review
- Best of Both Worlds? Fixation of Distal Femur Fractures with the Nail-Plate Construct.Orthopaedic surgery · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly mobilization and weight-bearing have been proposed to improve hip fracture outcomes. This study aimed to compare early postoperative complications and outcomes of patients who underwent weight-bearing as tolerated (WBAT) on postoperative day one (POD1) with those that did not on: (1) 30-day mortality; (2) 30-day postoperative major and minor complications; (3) length of stay (LOS); and (4) discharge disposition after hip fracture management.
methodsThe NSQIP database was used to identify 7947 hip fracture patients managed with a hemiarthroplasty and internal fixation, sliding hip screw, or cephalomedullary nail, for a total of 5845 patients were allowed to WBAT on POD1. They were compared to patients who were non-WBAT using adjusted multivariate regression models to evaluate the effect of WBAT status on the outcomes above.
resultsAmong the cephalomedullary nail patients, WBAT on POD1 was associated with a decreased likelihood of mortality. In the cephalomedullary nail and sliding hip screw treatment groups, patients were less likely to experience major and minor complications if they were WBAT on POD1. WBAT patients had shorter LOS in the sliding hip screw and cephalomedullary nail treatment groups. Patients were less likely to be discharged to a non-home facility when WBAT on POD1 regardless of treatment.
conclusionEarly weight-bearing after surgical care of hip fracture seems to decrease morbidity and mortality; however, this effect is treatment dependent. These findings further support the need for early mobilization and rapid recovery programs in the care of hip fracture patients. LEVEL OF EVIDENCE: Level III.
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