Authors
Dominic Thewlis, Francois Fraysse, Stuart A Callary, Viju Daniel Verghese, Claire F Jones, David M Findlay, Gerald J Atkins, Mark Rickman, Lucian B Solomon
Publication date
2017/7/1
Journal
Injury
Volume
48
Issue
7
Pages
1650-1656
Publisher
Elsevier
Description
Tibial plateau fractures are complex and the current evidence for postoperative rehabilitation is weak, especially related to the recommended postoperative weight bearing. The primary aim of this study was to investigate if loading in the first 12 weeks of recovery is associated with patient reported outcome measures at 26 and 52 weeks postoperative. We hypothesized that there would be no association between loading and patient reported outcome measures. Seventeen patients, with a minimum of 52-week follow-up following fragment-specific open reduction and internal fixation for tibial plateau fracture, were selected for this retrospective analysis. Postoperatively, patients were advised to load their limb to a maximum of 20 kg during the first 6 weeks. Loading data were collected during walking using force platforms. A ratio of limb loading (affected to unaffected) was calculated at 2, 6 and 12 weeks postoperative …
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