ArticleGeriatric orthopaedic surgery & rehabilitation2021
Immediate Full Weight-Bearing Versus Partial Weight-Bearing After Plate Fixation of Distal Femur Fractures in Elderly Patients. A Randomized Controlled Trial.
Article in Geriatric orthopaedic surgery & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Clinical outcomes of far cortical locking constructs in distal femur fractures: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Article
- Bone Formation Between 2.5 and 25% Interfragmentary Strain Induced by Immediate and Delayed Loading in a Bone Healing Model with a Monotonic Strain Gradient.Annals of biomedical engineering · 2026Article
- 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
- 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
- Biomechanical evaluation of cerclage wiring in plated tibia fractures using human and synthetic specimens.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Distal femur fractures: The use of a fibular strut allograft with dual locking plates allows for early weight bearing.BioMedicine · 2025Article
- Extended view on the mechanobiology of fracture healing: interplay between mechanics and inflammation.Frontiers in bioengineering and biotechnology · 2025Review
- Distal femur fractures: basic science and international perspectives.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Surgical management and weight-bearing recommendations for geriatric distal femur fractures.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Secondary Displacement was Common in Healing Distal Femur Fractures in a Cohort of Elderly Patients.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Early Full Weight-Bearing Exercises to Improve Gait Function in Older Adult Patients Following Surgery for Distal Femoral Fractures.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- An analytical model of lateral condylar plate working length.Clinical biomechanics (Bristol, Avon) · 2023Article
- Weight-bearing Guidelines for Common Geriatric Upper and Lower Extremity Fractures.Current osteoporosis reports · 2023Review
- Using a Traction Table for Fracture Reduction during Minimally Invasive Plate Osteosynthesis (MIPO) of Distal Femoral Fractures Provides Anatomical Alignment.Journal of clinical medicine · 2023Article
- Cerclage Wiring Improves Biomechanical Stability in Distal Tibia Spiral Fractures Treated by Intramedullary Nailing.Journal of clinical medicine · 2023Article
- Temporary Partial Weight-Bearing Restriction in Elderly Patients Treated With a Plate Fixation After a Distal Femur Fracture had a Negative Long-Term Impact on Gait Recovery.Geriatric orthopaedic surgery & rehabilitation · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAfter surgery for distal femur fractures in elderly patients, weight-bearing is commonly restricted. Immediate non-restrictive weight-bearing might have beneficial effects. There are no randomized studies on the topic. The purpose of this study was to compare the functional outcome between immediate full weight-bearing (FWB) as tolerated and partial weight-bearing (PWB) during the first 8 weeks following plate fixation of distal femur fractures in elderly patients.
methodsPatients aged 65 years or older with distal femur fractures of AO/OTA types 33 A2, A3, B1, B2, C1, and C2 were included. Exclusion criteria were impaired cognitive function, concomitant injuries, or inability to follow the postoperative regimen. Internal fixation was achieved with an anatomical lateral distal femur plate applied as a strictly bridge-plating construct. The primary outcome measure was the function index of the short musculoskeletal functional assessment (SMFA) after 52 weeks from injury.
resultsThirty-two patients were randomized to FWB (n = 11) or PWB (n = 21). After 16 and 52 weeks, there were no differences in the mean SMFA function index between FWB and PWB (36 vs 43,
conclusionsThere were no differences in functional outcome, adverse events, or ROM between immediate FWB and PWB following plate fixation for a distal femur fracture in elderly patients. A distal femur fracture has a negative effect on the functional status of elderly patients that persists at least up to 1 year following injury.
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