Immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures: a post hoc analysis
Abstract Background Early weight bearing is crucial for fracture healing after osteosynthesis for intertrochanteric fractures (ITFs). The optimal period to start weight bearing after surgery is still under debate. The aim of this study was to compare immediate weight bearing (IWB) as tolerated with...
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BMC
2024-12-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-024-08172-9 |
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| author | Ning Li Kai-Yuan Cheng Jing Zhang Gang Liu Li Zhou Shi-Wen Zhu Ming-Hui Yang Xin-Bao Wu Xie-Yuan Jiang |
| author_facet | Ning Li Kai-Yuan Cheng Jing Zhang Gang Liu Li Zhou Shi-Wen Zhu Ming-Hui Yang Xin-Bao Wu Xie-Yuan Jiang |
| author_sort | Ning Li |
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| description | Abstract Background Early weight bearing is crucial for fracture healing after osteosynthesis for intertrochanteric fractures (ITFs). The optimal period to start weight bearing after surgery is still under debate. The aim of this study was to compare immediate weight bearing (IWB) as tolerated with delayed weight bearing (DWB) following intramedullary fixationin elderly ITF patients. Methods This post hoc analysis included patients aged ≥ 65 years with X-ray-confirmed ITFs who were admitted within 21 days after injury and who underwent intramedullary fixation surgery. The primary outcome was the EQ-5D score at 120 days after surgery. The secondary outcomes included the EQ-5D score at 30 days and 365 days after surgery, the complication rate and the mortality rate. Results Among 410 patients (190 IWB, 220 DWB), those in the IWB group had higher EQ-5D scores at 30 (P < 0.001) and 120 days (P = 0.002) but lower scores at 365 days (P = 0.012) than did those in the DWB group. There were no significant differences in the complication rates, reoperation rates, or one-year mortality rates between the groups. Conclusions Compared with delayed weight bearing, immediate weight bearing improves early functional outcomes without increasing the complication or mortality rates in elderly ITF patients. |
| format | Article |
| id | doaj-art-6e0f1a8c21c748a180cf1337a0c747b0 |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
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| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-6e0f1a8c21c748a180cf1337a0c747b02024-12-22T12:07:14ZengBMCBMC Musculoskeletal Disorders1471-24742024-12-012511910.1186/s12891-024-08172-9Immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures: a post hoc analysisNing Li0Kai-Yuan Cheng1Jing Zhang2Gang Liu3Li Zhou4Shi-Wen Zhu5Ming-Hui Yang6Xin-Bao Wu7Xie-Yuan Jiang8Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical UniversitySchool of Public Health, Harbin Medical UniversityDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical UniversityAbstract Background Early weight bearing is crucial for fracture healing after osteosynthesis for intertrochanteric fractures (ITFs). The optimal period to start weight bearing after surgery is still under debate. The aim of this study was to compare immediate weight bearing (IWB) as tolerated with delayed weight bearing (DWB) following intramedullary fixationin elderly ITF patients. Methods This post hoc analysis included patients aged ≥ 65 years with X-ray-confirmed ITFs who were admitted within 21 days after injury and who underwent intramedullary fixation surgery. The primary outcome was the EQ-5D score at 120 days after surgery. The secondary outcomes included the EQ-5D score at 30 days and 365 days after surgery, the complication rate and the mortality rate. Results Among 410 patients (190 IWB, 220 DWB), those in the IWB group had higher EQ-5D scores at 30 (P < 0.001) and 120 days (P = 0.002) but lower scores at 365 days (P = 0.012) than did those in the DWB group. There were no significant differences in the complication rates, reoperation rates, or one-year mortality rates between the groups. Conclusions Compared with delayed weight bearing, immediate weight bearing improves early functional outcomes without increasing the complication or mortality rates in elderly ITF patients.https://doi.org/10.1186/s12891-024-08172-9Intertrochanteric fractureWeight bearingEQ-5DComplicationMortality |
| spellingShingle | Ning Li Kai-Yuan Cheng Jing Zhang Gang Liu Li Zhou Shi-Wen Zhu Ming-Hui Yang Xin-Bao Wu Xie-Yuan Jiang Immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures: a post hoc analysis BMC Musculoskeletal Disorders Intertrochanteric fracture Weight bearing EQ-5D Complication Mortality |
| title | Immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures: a post hoc analysis |
| title_full | Immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures: a post hoc analysis |
| title_fullStr | Immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures: a post hoc analysis |
| title_full_unstemmed | Immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures: a post hoc analysis |
| title_short | Immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures: a post hoc analysis |
| title_sort | immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures a post hoc analysis |
| topic | Intertrochanteric fracture Weight bearing EQ-5D Complication Mortality |
| url | https://doi.org/10.1186/s12891-024-08172-9 |
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