Immediate full weightbearing with additive cerclage improves early mobility after tibial shaft spiral fractures.

Leonard Lisitano, Timon Röttinger, Stefan Eger, Carl Neuerburg, Edgar Mayr, Stefan Förch

Abstract readMulticenter Study

In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Leonard LisitanoDepartment for Trauma, Orthopedics, Hand and Plastic Surgery, University Hospital Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany. leonard.lisitano@uk-augsburg.de.

Timon RöttingerDepartment for Trauma, Orthopedics, Hand and Plastic Surgery, University Hospital Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany.

Stefan EgerDepartment for Trauma, Orthopedics, Hand and Plastic Surgery, University Hospital Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany.

Carl NeuerburgDepartment for Orthopedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital LMU Munich, Munich, Germany.

Edgar MayrDepartment for Trauma, Orthopedics, Hand and Plastic Surgery, University Hospital Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany.

Stefan FörchDepartment for Trauma, Orthopedics, Hand and Plastic Surgery, University Hospital Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, the trend in orthopedic and trauma surgery has shifted towards earlier mobilization with reduced weightbearing restrictions to enhance patient recovery. Tibial-shaft-spiral-fractures pose a challenge for early mobilization. This study examines the use of additive cerclages, which allow for immediate full-weightbearing, and compares it to the standard-of-care (SOC) treatment with partial-weightbearing. The primary aim was to evaluate mobility, return-to-daily-activities, and safety outcomes. This prospective multicenter study included 36 patients with tibial-shaft-spiral-fractures. Group1 (n = 20) received an additive cerclage and was permitted immediate full weightbearing-as-tolerated, while Group2 (n = 16) followed SOC with 20 kg partial weightbearing for 6 weeks. Gait analysis was performed at 1,3,6, and 12-weeks, as well as 6-months post-surgery, using the loadsol

Indexed as

Early AmbulationFracture Fixation, InternalTibial FracturesWeight-BearingAdultFemaleHumansMaleMiddle AgedProspective StudiesQuality of LifeTreatment OutcomeYoung AdultAdditive cerclageGait analysisImmediate full weightbearingOrthopedic surgeryReturn to workTibial shaft spiral fractures

Identifiers

PMID41131343

DOI10.1038/s41598-025-24566-8

PMCPMC12549978

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