IMMEDIATE FULL WEIGHT BEARING VERSUS PARTIAL WEIGHT BEARING AFTER STABLE INTERNAL FIXATION OF POSTERIOR WALL ACETABULAR FRACTURES: A COMARATIVE STUDY | ||||
ALEXMED ePosters | ||||
Article 1, Volume 7, Issue 1, January 2025, Page 13-14 | ||||
Document Type: Preliminary preprint short reports of original research | ||||
DOI: 10.21608/alexpo.2025.350516.2056 | ||||
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Authors | ||||
Ayman Soliman Ismail1; Abdullah S Hammad2; Mahmoud Khairy Tantawy3; Ahmed Alaaeldin Abdel kreem Marie ![]() | ||||
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. | ||||
Keywords | ||||
WEIGHT BEARING; ACETABULAR FRACTURES; INTERNAL FIXATION | ||||
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