Early weight bearing in tibial plateau fractures treated with ORIF: a systematic review of literature

To review the current clinical evidence on advantages and risks of early weight bearing (EWB) after internal fixation for tibial plateau fracture. Data source: PubMed and Google Scholar from inception of database to 20 August 2021, using PRISMA guidelines. The included studies were randomized contro...

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Bibliographic Details
Published in:Journal of orthopaedic surgery and research 2022-05, Vol.17 (1), p.261-261, Article 261
Main Authors: Canton, Gianluca, Sborgia, Andrea, Dussi, Micol, Rasio, Nicholas, Murena, Luigi
Format: Article
Language:English
Subjects:
Bias
Case reports
Clinical trials
Early weight bearing
EWB
Fracture Fixation, Internal
Humans
Internal fixation
Knee
ORIF
Orthopedics
Patients
Prospective Studies
Rehabilitation
Retrospective Studies
Statistical analysis
Surgery
Systematic Review
Tibial Fractures - surgery
Tibial plateau fracture
Treatment Outcome
Weight-Bearing
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Description
Summary:To review the current clinical evidence on advantages and risks of early weight bearing (EWB) after internal fixation for tibial plateau fracture. Data source: PubMed and Google Scholar from inception of database to 20 August 2021, using PRISMA guidelines. The included studies were randomized controlled trials, prospective and retrospective observational studies, case reports. Data extraction was performed independently by 2 reviewers. Collected data were compared to verify agreement. Statistical analysis was not performed in this study. The literature search produced 174 papers from PubMed and 186 from Google Scholar, with a total amount of 360 papers. The two reviewers excluded 301 papers by title or duplicates. Of the 59 remaining, 33 were excluded after reading the abstract, and 17 by reading the full text. Thus, 9 papers were finally included in the review. EWB can be considered safe and effective in selected cases after internal fixation for tibial plateau fractures. Level of evidence Therapeutic Level III.
ISSN:1749-799X
1749-799X
DOI:10.1186/s13018-022-03156-8