{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:04:38Z","timestamp":1785326678036,"version":"3.55.0"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Physiotherapists managing tibial plateau fracture rehabilitation in India lack India\u2010specific guidance on weight\u2010bearing progression. Existing protocols reflect high\u2010income country settings with assumed physiotherapy access and consistent implant quality\u2014conditions that do not reflect Indian clinical realities. A persistent problem in Indian practice is the conflation of early mobilization with early weight bearing, leading to rehabilitation mismanagement in both directions. This clinical perspective synthesizes available Indian evidence and proposes a practical, physiotherapist\u2010applicable framework for weight\u2010bearing decision\u2010making after tibial plateau fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Design: literature review study with structured narrative synthesis as the analytical method, supplemented by explicit author perspective. A search of PubMed, IndMED, and Google Scholar (2013\u20132025) identified 10 Indian studies on rehabilitation after tibial plateau fractures, comprising one pilot randomized controlled trial, prospective and retrospective cohort studies, one case series, a narrative review, and one case report. Adult patients (aged \u2265\u00a018\u00a0years) with tibial plateau fractures managed in Indian clinical settings were included. Opinion\u2010based content is explicitly identified throughout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Early knee mobilization was consistently associated with improved functional outcomes across all study types, independent of weight\u2010bearing timing. Early partial weight bearing appeared feasible in patients with stable fixation, good bone quality, and supervised physiotherapy, based primarily on observational evidence and one underpowered pilot trial. Delayed weight bearing was appropriate for comminuted fractures, osteoporotic bone, and settings with limited physiotherapy supervision. Physiotherapy access was the primary real\u2010world determinant of rehabilitation safety across all included studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early mobilization should be universal; early weight bearing must be criterion\u2010based and selective. A fixation\u2010dependent, three\u2010phase physiotherapist\u2010guided rehabilitation framework is proposed for Indian clinical settings, explicitly addressing supervision availability, bone quality variability, and cultural functional demands. Multicenter Indian studies with physiotherapy\u2010led outcome measures are urgently required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70277","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:12:42Z","timestamp":1785323562000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Weight Bearing Decisions After Tibial Plateau Fractures: A Literature Review Based on Clinical Perspective for Physiotherapists in India"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5931-8810","authenticated-orcid":false,"given":"Shalini","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Physiotherapy Galgotias University  Greater Noida Uttar Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.22270\/jmpas.V10I4.1284"},{"key":"e_1_2_16_3_1","volume-title":"Physiotherapy After Tibial Plateau Fracture Fixation: A Systematic Review of the Literature","author":"Ibrahim E.","year":"2020"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312120965316"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010024\u201005347\u2010w"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjtee.2018.11.006"},{"issue":"4","key":"e_1_2_16_7_1","first-page":"677","article-title":"Surgical Management of Patients With Tibial Plateau Fracture Using Minimally Invasive Technique With Locking Compression Plate: Retrospective Study","volume":"3","author":"Mahendra Kumar K. L.","year":"2017","journal-title":"International Journal of Orthopaedics Sciences"},{"issue":"2","key":"e_1_2_16_8_1","first-page":"43","article-title":"Surgical Management of Tibial Plateau Fractures: A Clinical Study","volume":"8","author":"Ramesh B. S.","year":"2014","journal-title":"Journal of Clinical and Diagnostic Research"},{"issue":"4","key":"e_1_2_16_9_1","first-page":"250","article-title":"Outcome of Treatment of Proximal Tibial Plateau Fractures by Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO)","volume":"2","author":"Singh P.","year":"2016","journal-title":"Indian Journal of Orthopaedic Surgery"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.93B6.26122"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.13107\/jocr.2025.v15.i10.6246"}],"container-title":["Physiotherapy Research International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pri.70277","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pri.70277","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pri.70277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:12:44Z","timestamp":1785323564000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pri.70277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,29]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/pri.70277"],"URL":"https:\/\/doi.org\/10.1002\/pri.70277","archive":["Portico"],"relation":{},"ISSN":["1358-2267","1471-2865"],"issn-type":[{"value":"1358-2267","type":"print"},{"value":"1471-2865","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,29]]},"assertion":[{"value":"2026-03-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70277"}}