Schatzker type ?–? tibial plateau fractures present with main symptoms including pain near the knee joint, swelling, deformity, and functional impairment of movement.
Conditions
Interventions
Early Weight Bearing Group:Weight bearing started 2 weeks postoperatively, initial load of 20% of subject's body weight, increased by 10% to 15% weekly, gradually progressing to 100% of body weight.
Delayed Weight Bearing Group:Strict non-weight bearing for 6 weeks postoperatively
weight bearing initiated at 20% of body weight after imaging review at 6 weeks postoperatively, with progression pattern identical to the early weight bearing group.
Sponsors
Neijiang First People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1.Aged 18 to 60 years; 2.Radiographically confirmed Schatzker type I-IV or AO type B tibial plateau fracture; 3.Unilateral fresh closed fracture; 4.Soft tissue injury Tscherne grade 0-3; 5.Treated with open reduction and plate-screw internal fixation (ORIF); 6.Complete imaging data available; 7.Patients provide informed consent, can comply with follow-up, and follow-up duration >=6 months.
Exclusion criteria
Exclusion criteria: 1.Schatzker type V-VI, AO type A/C, open fractures, pathological fractures, old fractures, or ipsilateral limb concomitant fractures; 2.Unwilling or unable to comply with follow-up; 3.Treated with conservative management, external fixation, or intramedullary nailing rather than ORIF; 4.Age 60 years; 5.Preoperative inability to walk, cognitive impairment, severe comorbidities precluding surgery, or requiring prolonged bed rest postoperatively; 6.Recent cerebrovascular or cardiovascular disease with residual limb dysfunction; 7.Remote residence or anticipated difficulty in completing follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rasmussen clinical score;Joint collapse rate;Full Weight-Bearing Time(weeks); | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to return to normal work/life (weeks); | — |
Countries
China
Contacts
Public ContactChen Anfu
Neijiang First People's Hospital
Outcome results
None listed