{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:51:25Z","timestamp":1793296285995,"version":"4.5.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009169","name":"Assiut University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009169","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>To investigate the effects of adding immediate weight-bearing to tolerance into a post-operative rehabilitation program for surgically treated Tibial Plateau (TP) fractures on clinical and radiological outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A randomized control trial. 106 Patients were recruited following open reduction internal fixation (ORIF) TP fracture, with 54 patients meeting the criteria for inclusion. Patients were assigned randomly into one of two groups: (1) the traditional group (TG) and (2) the weight-bearing group (WG). The TG was given the non-weight-bearing (NWB) rehabilitation protocol for six weeks. The WG was allowed immediate weight-bearing, and the same therapeutic exercise program was given to both groups. The dependent variables, including clinical and radiological measurements, were recorded six weeks, three months, and six months after the surgery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 45 patients (11 women and 34 men), with a mean age of 43\u2009<jats:italic>\u00b1<\/jats:italic>\u200914 years, completed the study. There were significant differences between groups in favor of the WG at 6-months for the total clinical Rasmussen score (<jats:italic>p<\/jats:italic>\u2009=.002) as well as for the pain (<jats:italic>p<\/jats:italic>\u2009=.005), walking capacity (<jats:italic>p<\/jats:italic>\u2009=.002), and knee ROM (<jats:italic>p<\/jats:italic>\u2009=.047). We found neither difference between groups regarding radiological CT- Scan and X-ray measures nor Rasmussen\u2019s radiological scores (<jats:italic>p<\/jats:italic>\u2009=.854). Fracture type (Schatzker I-IV) did not affect any radiological measures between the groups. Four of 45 patients had intra-articular collapse, three in TG and one in WG (<jats:italic>p<\/jats:italic>\u2009=.571).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Immediate weight-bearing as tolerated after ORIF of TP fractures (Schatzker I-IV) resulted in better clinical outcomes with no significant differences in the radiological measures.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00264-025-06443-1","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T10:27:44Z","timestamp":1739874464000},"page":"1245-1253","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Immediate weight-bearing after tibial plateau fractures internal fixation results in better clinical outcomes with similar radiological outcomes: a randomized clinical trial"],"prefix":"10.1007","volume":"49","author":[{"given":"Mariam Abdel-azim","family":"Ibrahim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed M. A.","family":"Moustafa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Michel","family":"Brism\u00e9e","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama","family":"Farouk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Kamal","family":"Abdelnasser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatem Galal","family":"Said","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy L.","family":"Hooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Abdelmegeed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman F.","family":"Abdelkawi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"key":"6443_CR1","doi-asserted-by":"publisher","first-page":"232596711774391","DOI":"10.1177\/2325967117743916","volume":"5","author":"DN Kugelman","year":"2017","unstructured":"Kugelman DN, Qatu AM, Haglin JM et al (2017) Participation in recreational Athletics after operative fixation of Tibial Plateau fractures: predictors and functional outcomes of those getting back in the game. Orthop J Sports Med 5:2325967117743916. https:\/\/doi.org\/10.1177\/2325967117743916","journal-title":"Orthop J Sports Med"},{"key":"6443_CR2","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1302\/2058-5241.1.000031","volume":"1","author":"S Prat-Fabregat","year":"2016","unstructured":"Prat-Fabregat S, Camacho-Carrasco P (2016) Treatment strategy for tibial plateau fractures: an update. EFORT Open Rev 1:225\u2013232. https:\/\/doi.org\/10.1302\/2058-5241.1.000031","journal-title":"EFORT Open Rev"},{"key":"6443_CR3","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1186\/s13018-022-03156-8","volume":"17","author":"G Canton","year":"2022","unstructured":"Canton G, Sborgia A, Dussi M et al (2022) Early weight bearing in tibial plateau fractures treated with ORIF: a systematic review of literature. J Orthop Surg 17:261. https:\/\/doi.org\/10.1186\/s13018-022-03156-8","journal-title":"J Orthop Surg"},{"key":"6443_CR4","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1186\/s43019-021-00097-0","volume":"33","author":"OJF Keenan","year":"2021","unstructured":"Keenan OJF, Ross LA, Magill M et al (2021) Immediate weight-bearing is safe following lateral locked plate fixation of periprosthetic distal femoral fractures. Knee Surg Relat Res 33:19. https:\/\/doi.org\/10.1186\/s43019-021-00097-0","journal-title":"Knee Surg Relat Res"},{"key":"6443_CR5","doi-asserted-by":"publisher","first-page":"2207","DOI":"10.1016\/j.injury.2022.04.006","volume":"53","author":"J Schatzker","year":"2022","unstructured":"Schatzker J, Kfuri M (2022) Revisiting the management of tibial plateau fractures. Injury 53:2207\u20132218. https:\/\/doi.org\/10.1016\/j.injury.2022.04.006","journal-title":"Injury"},{"key":"6443_CR6","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/s10195-019-0519-1","volume":"20","author":"L McGonagle","year":"2019","unstructured":"McGonagle L, Cordier T, Link BC et al (2019) Tibia plateau fracture mapping and its influence on fracture fixation. J Orthop Traumatol 20:12. https:\/\/doi.org\/10.1186\/s10195-019-0519-1","journal-title":"J Orthop Traumatol"},{"key":"6443_CR7","doi-asserted-by":"publisher","first-page":"2410","DOI":"10.1007\/s00167-018-5216-8","volume":"27","author":"M Kubota","year":"2019","unstructured":"Kubota M, Ohno R, Sato T et al (2019) The medial proximal tibial angle accurately corrects the limb alignment in open-wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 27:2410\u20132416","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"6443_CR8","doi-asserted-by":"publisher","first-page":"3162","DOI":"10.1007\/s00167-021-06588-7","volume":"30","author":"A Wurm","year":"2022","unstructured":"Wurm A, Zechling A, Leitner H et al (2022) Medial unicondylar knee arthroplasty should be reserved for patients with complete joint space collapse. Knee Surg Sports Traumatol Arthrosc 30:3162\u20133167","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"6443_CR9","doi-asserted-by":"publisher","first-page":"5583","DOI":"10.3390\/jcm12175583","volume":"12","author":"M Bormann","year":"2023","unstructured":"Bormann M, Bitschi D, Neidlein C et al (2023) Mismatch between clinical\u2013functional and radiological outcome in Tibial Plateau fractures: a retrospective study. J Clin Med 12:5583. https:\/\/doi.org\/10.3390\/jcm12175583","journal-title":"J Clin Med"},{"key":"6443_CR10","doi-asserted-by":"publisher","first-page":"1237","DOI":"10.2106\/JBJS.22.00500","volume":"105","author":"N Assink","year":"2023","unstructured":"Assink N, El Moumni M, Kraeima J et al (2023) Radiographic predictors of Conversion to total knee Arthroplasty after Tibial Plateau fracture surgery: results in a large Multicenter Cohort. JBJS 105:1237. https:\/\/doi.org\/10.2106\/JBJS.22.00500","journal-title":"JBJS"},{"key":"6443_CR11","doi-asserted-by":"publisher","first-page":"3012","DOI":"10.1007\/s00167-014-3402-x","volume":"22","author":"C Clary","year":"2014","unstructured":"Clary C, Aram L, Deffenbaugh D, Heldreth M (2014) Tibial base design and patient morphology affecting tibial coverage and rotational alignment after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 22:3012\u20133018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"6443_CR12","doi-asserted-by":"publisher","first-page":"232596711989525","DOI":"10.1177\/2325967119895258","volume":"8","author":"C Pangaud","year":"2020","unstructured":"Pangaud C, Laumonerie P, Dagneaux L et al (2020) Measurement of the posterior tibial slope depends on ethnicity, sex, and Lower Limb Alignment: a computed tomography analysis of 378 healthy participants. Orthop J Sports Med 8:2325967119895258. https:\/\/doi.org\/10.1177\/2325967119895258","journal-title":"Orthop J Sports Med"},{"key":"6443_CR13","doi-asserted-by":"publisher","first-page":"1331","DOI":"10.2106\/00004623-197355070-00001","volume":"55","author":"PS Rasmussen","year":"1973","unstructured":"Rasmussen PS (1973) Tibial condylar fractures: IMPAIRMENT OF KNEE JOINT STABILITY AS AN INDICATION FOR SURGICAL TREATMENT. JBJS 55:1331","journal-title":"JBJS"},{"key":"6443_CR14","volume-title":"Weight bearing","author":"TB Anderson","year":"2024","unstructured":"Anderson TB, Duong H (2024) Weight bearing. In: StatPearls. StatPearls Publishing, Treasure Island (FL)"},{"key":"6443_CR15","doi-asserted-by":"publisher","first-page":"e7557","DOI":"10.7759\/cureus.7557","volume":"12","author":"BJ Passias","year":"2020","unstructured":"Passias BJ, Korpi FP, Chu AK et al (2020) Safety of Early Weight Bearing following fixation of Bimalleolar Ankle fractures. Cureus 12:e7557. https:\/\/doi.org\/10.7759\/cureus.7557","journal-title":"Cureus"},{"key":"6443_CR16","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1055\/s-0043-1772232","volume":"37","author":"E Heiman","year":"2024","unstructured":"Heiman E, Menken LG, Tang A et al (2024) Early versus Standard Weight Bearing Following Operative Treatment of Tibial Plateau Fractures: do we really have to wait so long? J Knee Surg 37:402\u2013408. https:\/\/doi.org\/10.1055\/s-0043-1772232","journal-title":"J Knee Surg"},{"key":"6443_CR17","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1007\/s00402-018-3088-5","volume":"139","author":"PHS Kalmet","year":"2019","unstructured":"Kalmet PHS, Van Horn YY, Sanduleanu S et al (2019) Patient-reported quality of life and pain after permissive weight bearing in surgically treated trauma patients with tibial plateau fractures: a retrospective cohort study. Arch Orthop Trauma Surg 139:483\u2013488. https:\/\/doi.org\/10.1007\/s00402-018-3088-5","journal-title":"Arch Orthop Trauma Surg"},{"key":"6443_CR18","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1302\/0301-620X.93B6.26122","volume":"93\u2013B","author":"LB Solomon","year":"2011","unstructured":"Solomon LB, Callary SA, Stevenson AW et al (2011) Weight-bearing-induced displacement and migration over time of fracture fragments following split depression fractures of the lateral tibial plateau. J Bone Joint Surg Br 93\u2013B:817\u2013823. https:\/\/doi.org\/10.1302\/0301-620X.93B6.26122","journal-title":"J Bone Joint Surg Br"},{"key":"6443_CR19","doi-asserted-by":"publisher","first-page":"2163","DOI":"10.1007\/s00264-015-3106-y","volume":"40","author":"I Carrera","year":"2016","unstructured":"Carrera I, Gelber PE, Chary G et al (2016) Fixation of a split fracture of the lateral tibial plateau with a locking screw plate instead of cannulated screws would allow early weight bearing: a computational exploration. Int Orthop 40:2163\u20132169. https:\/\/doi.org\/10.1007\/s00264-015-3106-y","journal-title":"Int Orthop"},{"key":"6443_CR20","doi-asserted-by":"publisher","first-page":"1886","DOI":"10.1016\/j.injury.2018.06.039","volume":"49","author":"M Williamson","year":"2018","unstructured":"Williamson M, Iliopoulos E, Jain A et al (2018) Immediate weight bearing after plate fixation of fractures of the tibial plateau. Injury 49:1886\u20131890. https:\/\/doi.org\/10.1016\/j.injury.2018.06.039","journal-title":"Injury"},{"key":"6443_CR21","doi-asserted-by":"publisher","first-page":"1650","DOI":"10.1016\/j.injury.2017.05.024","volume":"48","author":"D Thewlis","year":"2017","unstructured":"Thewlis D, Fraysse F, Callary SA et al (2017) Postoperative weight bearing and patient reported outcomes at one year following tibial plateau fractures. Injury 48:1650\u20131656. https:\/\/doi.org\/10.1016\/j.injury.2017.05.024","journal-title":"Injury"},{"key":"6443_CR22","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1016\/j.injury.2007.11.007","volume":"39","author":"RW Westerman","year":"2008","unstructured":"Westerman RW, Hull P, Hendry RG, Cooper J (2008) The physiological cost of restricted weight bearing. Injury 39:725\u2013727. https:\/\/doi.org\/10.1016\/j.injury.2007.11.007","journal-title":"Injury"},{"key":"6443_CR23","doi-asserted-by":"publisher","first-page":"2634","DOI":"10.1016\/j.injury.2017.10.040","volume":"48","author":"JB Arnold","year":"2017","unstructured":"Arnold JB, Tu CG, Phan TM et al (2017) Characteristics of postoperative weight bearing and management protocols for tibial plateau fractures: findings from a scoping review. Injury 48:2634\u20132642. https:\/\/doi.org\/10.1016\/j.injury.2017.10.040","journal-title":"Injury"},{"key":"6443_CR24","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1007\/s43465-024-01113-7","volume":"58","author":"Y Sudo","year":"2024","unstructured":"Sudo Y, Takegami Y, Tokutake K et al (2024) Does early and late Weight Bearing have an effect on the results of Elderly Tibial Plateau fractures with internal fixation? A Multicenter (TRON Group) Study. Indian J Orthop 58:354\u2013361. https:\/\/doi.org\/10.1007\/s43465-024-01113-7","journal-title":"Indian J Orthop"},{"key":"6443_CR25","doi-asserted-by":"publisher","first-page":"2613","DOI":"10.2106\/JBJS.E.01416","volume":"88","author":"TCOT Society","year":"2006","unstructured":"Society TCOT (2006) Open reduction and internal fixation compared with circular fixator application for Bicondylar Tibial Plateau fractures: results of a Multicenter, prospective, randomized clinical trial. JBJS 88:2613. https:\/\/doi.org\/10.2106\/JBJS.E.01416","journal-title":"JBJS"}],"container-title":["International Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-025-06443-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00264-025-06443-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-025-06443-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T07:53:00Z","timestamp":1744789980000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00264-025-06443-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,18]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["6443"],"URL":"https:\/\/doi.org\/10.1007\/s00264-025-06443-1","relation":{},"ISSN":["0341-2695","1432-5195"],"issn-type":[{"value":"0341-2695","type":"print"},{"value":"1432-5195","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,18]]},"assertion":[{"value":"5 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 February 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The ethical committee of our institution approved it: (IRB no.: 17200756)","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Patients signed informed consent regarding publishing their data and photographs.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}