Immediate Weight Bearing of Plated Both-Bone Forearm Fractures Using Eight Cortices Proximal and Distal to the Fracture in the Polytrauma Patient Is Safe.

摘要: INTRODUCTION Rehabilitation of trauma patients is facilitated by surgical stabilization permitting weight bearing (WB) the fractured extremity. Both-bone forearm fracture (BBFx) plate osteosynthesis an accepted technique with high union and low complication rates; yet, postoperative WB protocols have not been adequately investigated. There exists concern for increased complications in plated BBFx fractures prescribed immediate WB. We hypothesized that surgically treated BBFxs results acceptable rates complications. METHODS Patients presenting to a Level-1 center from 2007 2016 were identified retrospectively. skeletally mature, protocol, followed 6 months or union. Collected data included demographics, characteristics, associated injuries, all extremities. Complications recorded nonunion, hardware failure, infection. Standard statistical comparisons used evaluate risk polytrauma modified lower extremity (polytrauma group) no restrictions (isolated group). RESULTS Two hundred thirteen 75 (35%) females 138 (65%) males. Mean age was 40 years mean follow-up 46 weeks. 142 (67%) poly-trauma 71 (33%) isolated groups. In group 21 (10%) had bilateral restrictions. 11 (6%) noted: 2 non-unions, 4 failures, 5 infections. Demographics did vary between two difference (5.7%) versus groups (5.0%) (P = 0.75). CONCLUSION Immediate rehabilitation after seems be safe nonunion rates. Our demonstrate using ambulatory aids injuries can immediately without compared patients.