Evidence map›Paper›PMID 38159217›Full record

Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

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.

Pishtiwan Kalmet, Cherelle Maduro, Coen Verstappen, Guido Meys, Yvette van Horn, Raoul van Vugt, Heinrich Janzing, Alexander van der Veen, Coen Jaspars, Jan Bernard Sintenie and 5 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. The role of early weight bearing in the aftertreatment of unilateral displaced intraarticular calcaneal fractures: a systematic review and pooled analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Pooled it
  2. Article
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  7. 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 · 2025
    Article
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  9. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Pishtiwan KalmetMaastricht University Medical Center+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-3478-6932
Cherelle MaduroMaastricht University Medical Center+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-3805-259X
Coen VerstappenMaastricht University Medical Center+, Maastricht, The Netherlands. Coen.Verstappen@mumc.nl.ORCID http://orcid.org/0000-0003-0254-7002
Guido MeysAdelante Rehabilitation Center, Hoensbroek, The Netherlands.ORCID http://orcid.org/0000-0001-5903-0819
Yvette van HornAdelante Rehabilitation Center, Hoensbroek, The Netherlands.ORCID http://orcid.org/0000-0001-5219-7093
Raoul van VugtZuyderland Medical Center, Heerlen, The Netherlands.ORCID http://orcid.org/0000-0002-3293-7223
Heinrich JanzingViecuri Medical Center, Venlo, The Netherlands.ORCID http://orcid.org/0000-0002-0195-5840
Alexander van der VeenCatharina Hospital, Eindhoven, The Netherlands.ORCID http://orcid.org/0000-0001-5472-6657
Coen JasparsMaxima Medical Center, Veldhoven, The Netherlands.
Jan Bernard SintenieElkerliek Hospital, Helmond, The Netherlands.ORCID http://orcid.org/0000-0001-7019-1787
Taco BlokhuisMaastricht University Medical Center+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-3601-3458
Silvia EversMaastricht University, Care and Public Health Research Institute (CAPHRI), Maastricht, The Netherlands.ORCID http://orcid.org/0000-0003-1026-570X
Henk SeelenAdelante Rehabilitation Center, Hoensbroek, The Netherlands.ORCID http://orcid.org/0000-0001-8107-2011
Peter BrinkMaastricht University Medical Center+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0001-9142-5116
Martijn PoezeMaastricht University Medical Center+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0001-5005-1285
Maastricht University · NLAdelante · NLRadboud University Nijmegen · NLElkerliek Ziekenhuis · NLMaastricht University Medical Centre · NLVieCuri Medisch Centrum · NLZuyderland Medisch Centrum · NL

Funding

ZonMw 843001807
6 · The paper itself

Abstract

purposeThe aim of the present study was to investigate the effectiveness of a novel approach involving permissive weight bearing (PWB) in surgically treated trauma patients with peri- and intra-articular fractures of the lower extremities.

methodsProspective comparative multicenter cohort study in one level 1 trauma center and five level 2 trauma centers. Surgically treated trauma patients with peri- and intra-articular fractures of the lower extremities were included. Permissive weight bearing (PWB) in comparison to restricted weight bearing (RWB) was assessed over a 26-week post-surgery follow-up period. Patients' self-perceived outcome levels regarding activities of daily living (ADL), quality of life (QoL), pain and weight bearing compliance were used.

resultsThis study included 106 trauma patients (N = 53 in both the PWB and RWB groups). Significantly better ADL and QoL were found in the PWB group compared to the RWB group at 2-, 6-, 12- and 26-weeks post-surgery. There were no significant differences in postoperative complication rates between the PWB and RWB groups.

conclusionPWB is effective and is associated with a significantly reduced time to full weight bearing, and a significantly better outcome regarding ADL and QoL compared to patients who followed RWB regimen. Moreover, no significant differences in complication rates were found between the PWB and RWB groups. LEVEL OF EVIDENCE: Level II. REGISTRATION: This study is registered in the Dutch Trial Register (NTR6077). Date of registration: 01-09-2016.

Indexed as

Intra-Articular FracturesActivities of Daily LivingCohort StudiesHumansLower ExtremityProspective StudiesQuality of LifeTreatment OutcomeWeight-BearingFracturesLower extremityPermissive weight bearingRehabilitationRestricted weight bearingTrauma patients

Identifiers

PMID38159217
PMCPMC10980603
OpenAlexW4390443638

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.