ArticleAge and ageing2021
Optimal management of older people with frailty non-weight bearing after lower limb fracture: a scoping review.
Article in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Does high frequency exercise or electrical muscle stimulation improve strength and function in non-weight bearing, older patients? The PAIVE pilot randomised trial.BMC geriatrics · 2025Trial
- 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
- Exploring perspectives of older adults and informal caregivers on physical activity during non-weight-bearing rehabilitation: a qualitative study.European geriatric medicine · 2026Article
- Lower incidence of new onset depressive mood disorders associated with early postoperative weight-bearing versus non-weight bearing following fixation of femur and tibia fractures.Archives of orthopaedic and trauma surgery · 2025Article
- An overview on the management of ankle fractures in elderly patients aged 65 and over: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 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
- Strain energy in human tibia during different exercises with adjustable leg weights: a subject-specific computational model analysis.Medical & biological engineering & computing · 2025Article
- Open lower limb fracture reconstruction in the elderly population: the experience of a major trauma centre.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- The influence of immobility on muscle loss in older people with frailty and fragility fractures.GeroScience · 2024Article
- Causal association between air pollution and frailty: a Mendelian randomization study.Frontiers in public health · 2023Article
- Delayed mobilization following admission for hip fracture is associated with increased morbidity and length of hospital stay.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with lower limb fractures who are non-weight bearing are at risk of the complications of the associated immobility and disability, particularly people with frailty, but there is lack of clarity about what constitutes optimal care for such patients. A scoping literature review was conducted to explore what evidence is available for the management of this patient group.
methodsMEDLINE (PubMed) CINAHL, EMBASE and the Cochrane databases of published literature and the HMIC and SIGLE sites for grey literature were searched for primary research studies and expert reports, using an iterative approach initially including the key term 'non-weight bearing'. All study types were included. Analysis was by narrative synthesis.
resultsNo papers were identified from a search using the key phrase 'non-weight bearing'. With this term removed, 11 indirectly relevant articles on lower limb fractures were retrieved from the searches of the electronic databases comprising three observational studies, five non-systematic review articles, a systematic review, an opinion piece and a survey of expert opinion that had relevance to restricted weight bearing patients. The observational studies indicated depression, cognition and nutrition affect outcome and hence have indirect relevance to management. The non-systematic reviews articles emphasised the importance of maintaining strength and range of movement during immobilisation and advised an orthogeriatric model of care. Fourteen UK and 97 non-UK guidelines relevant to fragility fractures, falls and osteoporosis management were found in the grey literature, but none made specific recommendations regarding the management of any period of non-weight bearing. DISCUSSION: These findings provide a summary of the evidence base that can be used in the development of a clinical guideline for these patients but is not sufficient. We propose that, a guideline should be developed for these patients using an expert consensus process.
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