ArticleArchives of orthopaedic and trauma surgery2022
Analysis of partial weight bearing after surgical treatment in patients with injuries of the lower extremity.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Audio-biofeedback versus the scale method for improving partial weight-bearing adherence in healthy older adults: a randomised trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Trial
- Is an Ambulatory Biofeedback Device More Effective than Instructing Partial Weight-Bearing Using a Bathroom Scale? Results of a Randomized Controlled Trial with Healthy Subjects.Sensors (Basel, Switzerland) · 2024Trial
- Can elderly individuals perform partial weight bearing on their lower limbs? A prospective cohort study using ambulatory real-time biofeedback.Journal of orthopaedic surgery and research · 2023Trial
- 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
- Development of a low-cost external fixation system: an off-label solution for resource-limited settings.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Biomechanical study using the finite element analysis of a new method for fixation of coronal fracture of the femoral condyle.Journal of orthopaedics · 2026Article
- Impact of Weight-Bearing Status on Patient Gait During Fracture Recovery.The Journal of the American Academy of Orthopaedic Surgeons · 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
- A Case Report of a Symptomatic Atrophy and Osteonecrosis of the Femoral Diaphysis Induced by Internal Plate Fixation of a Periprosthetic Fracture.Journal of orthopaedic case reports · 2025Article
- Immediate full weightbearing with additive cerclage improves early mobility after tibial shaft spiral fractures.Scientific reports · 2025Article
- Permissive Weight-Bearing after Fixation of Displaced Acetabular Fractures: A Case Series Study.Clinics in orthopedic surgery · 2025Article
- Partial weight bearing and long-term survival outcomes in extracapsular hip fractures treated with trochanteric Gamma3 nails.BMC musculoskeletal disorders · 2025Article
- Weight-Bearing Monitoring Devices in Lower Extremity Fractures: A Scoping Review.Orthopedic research and reviews · 2025Review
- Deep behavioral phenotyping tracks functional recovery following tibia fracture in mice.Frontiers in physiology · 2025Article
- 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
- [Augmentation techniques for the treatment of osteoporosis-associated fractures of the extremities].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Recommendations for physiotherapy and physical activity for children with Legg-Calvé-Perthes disease: a survey of pediatric orthopedic surgeons and physiotherapists in Sweden.Acta orthopaedica · 2023Article
- Comparison of medial tibiofemoral joint mechanics between all-suture anchors and transtibial pullout technique for posterior medial meniscal root tears.Journal of orthopaedic surgery and research · 2023Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAfter surgical treatment of injuries of the lower extremity, partial weight bearing is often suggested until soft tissue consolidation. It is doubtful, if this recommendation can be implemented, even in the case that a patient is performing partial weight bearing with a physical therapist. Consequently the question remains, if patients are able to implement partial weight bearing after surgery and which factors favor incompliance. MATERIALS AND
methods49 patients, who underwent surgical treatment after injuries of the lower extremity, were equipped with electronic shoe insoles on both sides. Different weight bearing instructions were given depending on the type of injury and surgery (full weight bearing vs. 20 kg weight bearing vs. non-weight bearing). Besides loading, other factors like age, gender, weight and physical activity were evaluated. Statistical analysis was performed using Chi-square and Fisher's exact test with significance set at a p value < 0.05.
results25 of the 40 patients, who had to perform non- or partial weight bearing, were not able to follow postoperative instructions (compliance rate 37.5%). The average loading of the whole collective was 32.6 kg (4.8-109.2 kg). The specification of loading had no statistically significant influence on real loading (p-value 0.39). Elderly patients were less able to follow instructions than younger patients (36 vs 30.2 kg). Physically active compared to non-active patients overloaded their injured extremity (37.8 vs 28.7 kg). Patients with a high body mass index (BMI) encountered more difficulties to perform partial weight bearing than lightweight patients (36.9 vs 25.1 kg).
conclusionsMost patients were not able to follow loading limitation, even a few days after surgery and even if the patients were trained by a physiotherapist. Excessive weight bearing-related complications should be evaluated.
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