University of Utah
The investigators aim of the study is to assess the effects of early mobilization after surgically treated unicondylar tibia plateau fractures (6 weeks without weight bearing) on gait, patient satisfaction, return to work/sports and complication rate. The data will be compared to a 10-12 week non-weight bearing group (standard of care). It is assumed that earlier mobilization does not lead to an increase in the complications - in particular osteosynthesis failure and infections -, but leads to improved patient satisfaction, reduced return to work/sports times, and has a positive impact on the overall outcome
Tibial plateau fractures are common sports injuries caused by accidents such as skiing and mountain biking. Thus, young adults with high functional and athletic demands are often affected. The best possible restoration of the original joint function and resilience is therefore particularly important for this group of patients. In addition, prolonged immobilization in this patient group poses a high risk of loss of earnings and a significant impairment in athletic performance. These injuries usually require surgical treatment which is followed by 10-12 weeks without weight bearing. In recent y…
Inclusion Criteria: * Adult patients, at least 18 years of age, max 65 years of age * Unilateral tibial plateau fracture AO:41b/c * Written consent to participate (consent can be revoked at any time without giving reasons) * Surgery during the study period * Follow-up on-site (Salt Lake City, Utah, United States) Exclusion Criteria: * Multiple injured or polytraumatized patients * Other injuries or illnesses that impair the patient's mobility or gait * Cognitive limitations such as dementia, delirium or similar disease * Refusal to participate * Severe underlying disease with significant li…
Early mobilization 6 weeks post-operatively. Gait analyses is carried out on when full mobilization is allowed. Gait analysis is performed while using force-measuring insoles (loadsol, Novel).
Standard of care mobilization at 10 weeks post-operatively. Gait analyses is carried out on when full mobilization is allowed. Gait analysis is performed while using force-measuring insoles (loadsol, Novel).
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