IMMEDIATE FULL WEIGHT BEARING VERSUS PARTIAL WEIGHT BEARING AFTER STABLE INTERNAL FIXATION OF POSTERIOR WALL ACETABULAR FRACTURES: A COMARATIVE STUDY

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Alexandria University.

2 Department of Orthopaedic,Faculty of medicine ,University of Alexandria

3 Department 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.
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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.
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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.

Keywords

ALEXMED ePosters
Volume 7, Issue 1
January 2025
Pages 13-14

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