Permissive weight bearing in trauma patients with fracture of the lower extremities: prospective multicenter comparative cohort study

Pishtiwan H. S. Kalmet*, Guido Meys, Yvette Y. V. Horn, Silvia M. A. A. Evers, Henk A. M. Seelen, Paul Hustinx, Heinrich Janzing, Alexander Vd Veen, Coen Jaspars, Jan Bernard Sintenie, Taco J. Blokhuis, Martijn Poeze, Peter R. G. Brink

*Corresponding author for this work

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Background: The standard aftercare treatment in surgically treated trauma patients with fractures around or in a joint, known as (peri)- or intra-articular fractures of the lower extremities, is either non-weight bearing or partial weight bearing. We have developed an early permissive weight bearing post-surgery rehabilitation protocol in surgically treated patients with fractures of the lower extremities. In this proposal we want to compare our early permissive weight bearing protocol to the existing current non-weight bearing guidelines in a prospective comparative cohort study. Methods/design: The study is a prospective multicenter comparative cohort study in which two rehabilitation aftercare treatments will be contrasted, i.e. permissive weight bearing and non-weight bearing according to the AO-guideline. The study population consists of patients with a surgically treated fracture of the pelvis/acetabulum or a surgically treated (peri)- or intra-articular fracture of the lower extremities. The inclusion period is 12 months. The duration of follow up is 6 months, with measurements taken at baseline, 2,6,12 and 26 weeks post-surgery. Primary outcome measure: ADL with Lower Extremity Functional Scale. Outcome variables for compliance, as measured with an insole pressure measurement system, encompass peak load and step duration. Discussion: This study will investigate the (cost-) effectiveness of a permissive weight bearing aftercare protocol. The results will provide evidence whether a permissive weight bearing protocol is more effective than the current non-weight bearing protocol.
Original languageEnglish
Article number8
Number of pages7
JournalBMC Surgery
Publication statusPublished - 2 Feb 2018


  • Fractures of the lower extremities
  • Trauma patients
  • Complications
  • Permissive weight bearing

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