A PROTOCOL FOR PERMISSIVE WEIGHT-BEARING DURING ALLIED HEALTH THERAPY IN SURGICALLY TREATED FRACTURES OF THE PELVIS AND LOWER EXTREMITIES

Guido Meys, Pishtiwan H. S. Kalmet*, Sebastian Sanduleanu, Yvette Y. van Horn, Geert Jan Maas, Martijn Poeze, Peter R. G. Brink, Henk A. M. Seelen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Web of Science)

Abstract

Objective: To optimize rapid clinical recovery and restoration of function and functionality, permissive weight-bearing has been designed as a new aftercare mobilization regimen, within the upper boundary of the therapeutic bandwidth, yet safe enough to avoid overloading. The aim of the present paper is to describe a comprehensive protocol for permissive weight-bearing during allied health therapy and to report on the time to full weight-bearing, as well as the number of complications, in patients with surgically treated fractures of the pelvis and lower extremities undergoing permissive weight-bearing.

Patients and methods: This study included surgically treated trauma patients with (pert)- or intra-articular fractures of the pelvis and lower extremities. A standardized permissive weight-bearing protocol was used for all patients. Time to full weight-bearing and number of complications were recorded.

Results: This study included 150 patients, 69% male, with a median age of 48 years (interquartiie range (IQR) 33.0, 57.0). The median time to full weight bearing was 12.0 weeks (IQR 6.8, 19.2). The complication rate during rehabilitation was 10%.

Conclusion: The permissive weight-bearing protocol, as described, might be beneficial and has potential to be implemented in trauma patients with surgically treated (peri)- or intra-articular fractures of the pelvis and lower extremities.

Original languageEnglish
Pages (from-to)290-297
Number of pages8
JournalJournal of Rehabilitation Medicine
Volume51
Issue number4
DOIs
Publication statusPublished - Apr 2019

Keywords

  • surgically treated fractures
  • rehabilitation
  • post-operative period
  • aftercare
  • guidelines
  • permissive weight-bearing
  • ANKLE FRACTURES
  • POSTOPERATIVE COMPLICATIONS
  • INTERNAL-FIXATION
  • TIBIAL PLATEAU
  • OPEN REDUCTION
  • RISK-FACTORS
  • WEIGHTBEARING
  • MOBILIZATION
  • OUTCOMES
  • MOTION

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