Evidence map›Paper›PMID 39964437›Full record

Trial reportInternational orthopaedics2025

Immediate weight-bearing after tibial plateau fractures internal fixation results in better clinical outcomes with similar radiological outcomes: a randomized clinical trial.

Mariam Abdel-Azim Ibrahim, Mohamed M A Moustafa, Jean-Michel Brismée, Osama Farouk, Mohammad Kamal Abdelnasser, Hatem Galal Said, Troy L Hooper, Mohamed Abdelmegeed, Ayman F Abdelkawi

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. 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

9 authors.

Mariam Abdel-Azim IbrahimOrthopedic Rehabilitation Unit, Department of Orthopedic and Trauma Surgery, Assiut University Trauma Hospital, Assiut University, Assiut, Egypt. mariam.a.ibrahim@med.aun.edu.eg.
Mohamed M A MoustafaDepartment of Orthopedic and Trauma Surgery, Assuit University Trauma Hospital, Faculty of Medicine, Assiut, Assiut, Egypt.
Jean-Michel BrisméeCenter for Rehabilitation Research, School of Health Professions, Texas Tech University Health Sciences Center, Lubbock, Texas, Lubbock, USA.
Osama FaroukDepartment of Orthopedic and Trauma Surgery, Assuit University Trauma Hospital, Faculty of Medicine, Assiut, Assiut, Egypt.
Mohammad Kamal AbdelnasserDepartment of Orthopedic and Trauma Surgery, Assuit University Trauma Hospital, Faculty of Medicine, Assiut, Assiut, Egypt.
Hatem Galal SaidDepartment of Orthopedic and Trauma Surgery, Assuit University Trauma Hospital, Faculty of Medicine, Assiut, Assiut, Egypt.
Troy L HooperCenter for Rehabilitation Research, School of Health Professions, Texas Tech University Health Sciences Center, Lubbock, Texas, Lubbock, USA.
Mohamed AbdelmegeedDepartment of Orthopedic Physical Therapy, Faculty of Physical Therapy, Cairo University, Cairo, Cairo, Egypt. mohamed.abdelmageed@hofstra.edu.
Ayman F AbdelkawiDepartment of Orthopedic and Trauma Surgery, Assuit University Trauma Hospital, Faculty of Medicine, Assiut, Assiut, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effects of adding immediate weight-bearing to tolerance into a post-operative rehabilitation program for surgically treated Tibial Plateau (TP) fractures on clinical and radiological outcomes.

methodsA randomized control trial. 106 Patients were recruited following open reduction internal fixation (ORIF) TP fracture, with 54 patients meeting the criteria for inclusion. Patients were assigned randomly into one of two groups: (1) the traditional group (TG) and (2) the weight-bearing group (WG). The TG was given the non-weight-bearing (NWB) rehabilitation protocol for six weeks. The WG was allowed immediate weight-bearing, and the same therapeutic exercise program was given to both groups. The dependent variables, including clinical and radiological measurements, were recorded six weeks, three months, and six months after the surgery.

resultsA total of 45 patients (11 women and 34 men), with a mean age of 43 ± 14 years, completed the study. There were significant differences between groups in favor of the WG at 6-months for the total clinical Rasmussen score (p =.002) as well as for the pain (p =.005), walking capacity (p =.002), and knee ROM (p =.047). We found neither difference between groups regarding radiological CT- Scan and X-ray measures nor Rasmussen's radiological scores (p =.854). Fracture type (Schatzker I-IV) did not affect any radiological measures between the groups. Four of 45 patients had intra-articular collapse, three in TG and one in WG (p =.571).

conclusionImmediate weight-bearing as tolerated after ORIF of TP fractures (Schatzker I-IV) resulted in better clinical outcomes with no significant differences in the radiological measures.

Indexed as

Fracture Fixation, InternalTibial FracturesWeight-BearingAdultFemaleHumansMaleMiddle AgedRadiographyRange of Motion, ArticularTibial Plateau FracturesTreatment OutcomeYoung AdultAccelerated rehabilitationCT-ScanIntra-articular knee fracturesPhysical therapyRasmussen score

Identifiers

PMID39964437
PMCPMC12003496

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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.