Ismail, A., Hammad, A., Tantawy, M., Marie, A. (2025). IMMEDIATE FULL WEIGHT BEARING VERSUS PARTIAL WEIGHT BEARING AFTER STABLE INTERNAL FIXATION OF POSTERIOR WALL ACETABULAR FRACTURES: A COMARATIVE STUDY. ALEXMED ePosters, 7(1), 13-14. doi: 10.21608/alexpo.2025.350516.2056
Ayman Soliman Ismail; Abdullah S Hammad; Mahmoud Khairy Tantawy; Ahmed Alaaeldin Abdel kreem Marie. "IMMEDIATE FULL WEIGHT BEARING VERSUS PARTIAL WEIGHT BEARING AFTER STABLE INTERNAL FIXATION OF POSTERIOR WALL ACETABULAR FRACTURES: A COMARATIVE STUDY". ALEXMED ePosters, 7, 1, 2025, 13-14. doi: 10.21608/alexpo.2025.350516.2056
Ismail, A., Hammad, A., Tantawy, M., Marie, A. (2025). 'IMMEDIATE FULL WEIGHT BEARING VERSUS PARTIAL WEIGHT BEARING AFTER STABLE INTERNAL FIXATION OF POSTERIOR WALL ACETABULAR FRACTURES: A COMARATIVE STUDY', ALEXMED ePosters, 7(1), pp. 13-14. doi: 10.21608/alexpo.2025.350516.2056
Ismail, A., Hammad, A., Tantawy, M., Marie, A. IMMEDIATE FULL WEIGHT BEARING VERSUS PARTIAL WEIGHT BEARING AFTER STABLE INTERNAL FIXATION OF POSTERIOR WALL ACETABULAR FRACTURES: A COMARATIVE STUDY. ALEXMED ePosters, 2025; 7(1): 13-14. doi: 10.21608/alexpo.2025.350516.2056
IMMEDIATE FULL WEIGHT BEARING VERSUS PARTIAL WEIGHT BEARING AFTER STABLE INTERNAL FIXATION OF POSTERIOR WALL ACETABULAR FRACTURES: A COMARATIVE STUDY
1Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Alexandria University.
2Department of Orthopaedic,Faculty of medicine ,University of Alexandria
3Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, University of Alexandria.
Abstract
Acetabular fractures are severe injuries requiring surgical intervention for hip joint stability and function. Posterior wall fractures constitute 40-50% of acetabular fractures. Optimal treatment involves open reduction and internal fixation (ORIF), aiming for precise reduction and stable fixation to enable early rehabilitation. Postoperative weight-bearing protocols remain debated, with varying practices from immediate full weight-bearing (FWB) to restricted partial weight-bearing (PWB). This study compares these protocols in terms of fracture healing, functional recovery, and complication rates. ________________________________________ AIM OF THE WORK: To compare the outcomes of immediate full weight-bearing versus partial weight-bearing after stable internal fixation of posterior wall acetabular fractures. ________________________________________ PATIENTS AND METHODS: Study Design: Prospective randomized comparative study. Population: 45 patients with posterior wall acetabular fractures treated at El-Hadra University Hospital. • Group A (FWB): 23 patients allowed weight-bearing as tolerated within 24-48 hours postoperatively. • Group B (PWB): 22 patients restricted to touch-down weight-bearing within 24-48 hours postoperatively.
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