{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:04:48Z","timestamp":1790129088599,"version":"4.0.1"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose In order to prevent implant failure and secondary fracture dislocation, it is often recommended that patients perform partial weight-bearing after surgery of the lower\n          extremity. Previous examinations showed that patients are often not able to follow these instructions. In this study, patients who had undergone surgery of the lower extremity were studied\n          in order to analyze whether incorrect loading influenced the number and severity of complications.<\/jats:p><jats:p>\n          Methods Fifty-one patients were equipped with electronic shoe insoles, which measure loading and other parameters. The measurement period was 24 to 102 hours. Median duration of\n          follow-up was 490 days. The primary outcome parameter was postoperative complications leading to revision surgery. Statistical analysis was performed using the chi-square and Fisher exact\n          tests with significance set at a p\u00a0&lt;\u00a00.05.<\/jats:p><jats:p>\n          Results Seven out of fifty-one patients had postoperative complications. Four wound complications, one implant failure, chronic instability after fracture of the tibia, and one\n          implant loosening of a hip prosthesis were recorded. In total, 26 of 39 patients were not able to follow the postoperative instructions. Five of the twenty-six patients with difficulties in\n          partial weight-bearing suffered a postoperative complication. In comparison, only 2 of the other 25 patients were affected. There was no statistically significant correlation between high\n          weight-bearing and occurrence of complications (p\u00a0=\u00a00.29).<\/jats:p><jats:p>\n          Conclusion Most of the patients were unable to follow the surgeon\u2019s instructions for partial weight-bearing. Excessive loading did not seem to influence the number and severity of\n          postoperative complications, especially regarding implant failure. Therefore, we should continue with measurements and reevaluate the \u201cpartial weight-bearing doctrine\u201d.<\/jats:p>","DOI":"10.1055\/a-1740-4445","type":"journal-article","created":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T00:33:02Z","timestamp":1646267582000},"page":"526-531","source":"Crossref","is-referenced-by-count":5,"title":["Influence of Weight Bearing on Postoperative Complications after Surgical Treatment of the Lower Extremity"],"prefix":"10.1055","volume":"161","author":[{"given":"Alexander Maximilian","family":"Eickhoff","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffael","family":"Cintean","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Fiedler","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Gebhard","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6607-2539","authenticated-orcid":false,"given":"Konrad","family":"Sch\u00fctze","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,3,2]]},"reference":[{"issue":"328","key":"ref1","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1097\/00003086-199607000-00031","article-title":"Early, full weightbearing with flexible fixation delays fracture healing","author":"P Augat","year":"1996","journal-title":"Clin Orthop Relat Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1007\/s00402-009-1017-3","article-title":"Partial versus unrestricted weight bearing after an uncemented femoral stem in total hip arthroplasty: recommendation of a concise rehabilitation protocol from a systematic review of the\n          literature","volume":"130","author":"AM Hol","year":"2010","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1507","DOI":"10.1007\/s00264-017-3481-7","article-title":"Weight-bearing recommendations after operative fracture treatment-fact or fiction? Gait results with and feasibility of a dynamic, continuous pedobarography insole","volume":"41","author":"BJ Braun","year":"2017","journal-title":"Int Orthop"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.2106\/JBJS.15.01054","article-title":"Patient Compliance with Postoperative Lower-Extremity Non-Weight-Bearing Restrictions","volume":"98","author":"CP Chiodo","year":"2016","journal-title":"J Bone Joint Surg Am"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/1758-2555-4-6","article-title":"Correlation of psychomotor findings and the ability to partially weight bear","volume":"4","author":"T Ruckstuhl","year":"2017","journal-title":"Sports Med Arthrosc Rehabil Ther Technol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e993","DOI":"10.3928\/01477447-20141023-56","article-title":"Haptic biofeedback for improving compliance with lower-extremity partial weight bearing","volume":"37","author":"MC Fu","year":"2014","journal-title":"Orthopedics"},{"key":"ref7","first-page":"119","article-title":"Current advances in training orthopaedic patients to comply with partial weight-bearing instructions","volume":"85","author":"JW Hustedt","year":"2012","journal-title":"Yale J Biol Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"217","DOI":"10.55095\/achot2021\/034","article-title":"Feedback and Analysis System to Improve Partial Weight Bearing and Bone Healing Following Fractures and Osteotomies of the Lower Limb: Technical Note","volume":"88","author":"I Stoller","year":"2021","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"727","DOI":"10.5435\/JAAOS-21-12-727","article-title":"Early weight bearing after lower extremity fractures in adults","volume":"21","author":"EN Kubiak","year":"2013","journal-title":"J Am Acad Orthop Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1186\/s13018-017-0527-x","article-title":"Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis","volume":"12","author":"P Tian","year":"2017","journal-title":"J Orthop Surg Res"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1051\/sicotj\/2019005","article-title":"Influence of mobilization and early weight bearing on in-hospital outcome in geriatric patients with hip fractures","volume":"5","author":"M Baer","year":"2019","journal-title":"SICOT J"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1007\/s00068-018-1016-6","article-title":"Weight-bearing or non-weight-bearing after surgical treatment of ankle fractures: a multicenter randomized controlled trial","volume":"46","author":"DPJ Smeeing","year":"2020","journal-title":"Eur J Trauma Emerg Surg"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1016\/j.injury.2019.11.028","article-title":"Orthopedic treatment and early weight-bearing for bimalleolar ankle fractures in elderly patients: Quality of life and complications","volume":"51","author":"A Lorente","year":"2020","journal-title":"Injury"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1886","DOI":"10.1016\/j.injury.2018.06.039","article-title":"Immediate weight bearing after plate fixation of fractures of the tibial plateau","volume":"49","author":"M Williamson","year":"2018","journal-title":"Injury"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1740-4445.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T23:23:48Z","timestamp":1695943428000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1740-4445"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,2]]},"references-count":14,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2023,9,28]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1740-4445","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"value":"1864-6697","type":"print"},{"value":"1864-6743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,2]]}}}