Immediate weight bearing after plate fixation of fractures of the tibial plateau

摘要: Abstract Background Proximal articular fractures of the tibia are commonly stabilised with internal fixation using plates and screws. There is a lack evidence conflicting guidelines as to most suitable post-operative rehabilitation regime including weight bearing status. numerous physiological socioeconomic benefits early after orthopaedic surgery, but concerns remain around loss fracture reduction. Therefore, aim this study investigate whether status tibial plateau plate associated any reduction or collapse. Methods We retrospectively analysed data from our prospectively collected major trauma centre database. All that required open screws were included. The immediate these patients was recorded. Group I consisted those either non-weight touch for first six weeks. II who instructed bear fully (as tolerated) immediately operation. Radiographs taken on day one post-operation, at weeks three months displacement joint depression fixation. Results A total 90 included in study. (non-weight bearing) 60 (67%). (full 30 (33%). follow up radiographs demonstrated no failure group. One patient group had >1 mm (4 mm) identified up, which did not progress. Conclusions This shows full does affect cause collapse surgery thus we propose should be allowed surgical stabilisation fractures. will enable benefit positive effects healing post-surgery avoid complications without