{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T18:14:37Z","timestamp":1780424077397,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"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":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The global standard of care for hip fracture surgery is early weight\u2010bearing, but this has not extended to other lower extremity fractures in the elderly. Patients undergoing fixation of distal femur fractures are often prescribed weight\u2010bearing restrictions, which may lead to deconditioning and other complications. The purpose of this study was to compare the outcomes and complication rates between patients permitted early versus restricted weight\u2010bearing following distal femur fracture fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medline, Embase, Cochrane and Web of Science databases were searched for English language articles up to 21 October 2023, identifying 366 studies for screening. Comparative studies evaluating patients undergoing distal femur fracture fixation with early or restricted weight\u2010bearing were included. Native knee and periprosthetic fractures were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten studies were included for analysis. Two studies provided Level II evidence, while the remaining eight studies provided Level III evidence. Cochrane risk of bias tools were utilized to assess study quality. Revision and complication rates were analyzed and reported as odds ratio. Sub\u2010analysis was undertaken to address the heterogeneity in author definitions of weight\u2010bearing. There was no statistically significant difference in the revision or complication rate between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early weight\u2010bearing following distal femur fracture fixation in a predominantly elderly population does not demonstrate an increased rate of revision or complications compared to restricted weight\u2010bearing. However, there are limitations to the available literature, and the strength of the findings is insufficient to provide strong recommendations for all patients. Future studies should employ standardized definitions and avoid partial or time\u2010based restrictions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.19288","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T05:49:51Z","timestamp":1730094591000},"page":"1108-1114","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Early weight\u2010bearing following distal femur fracture fixation \u2013 a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3034-1805","authenticated-orcid":false,"given":"Andrea S.","family":"Aebischer","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Gold Coast University Hospital  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conor J. C.","family":"Gouk","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Gold Coast University Hospital  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Steer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Gold Coast University Hospital  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab071"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/21514593231184945"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-019-02453-z"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-022-01939-6"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.04.050"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201312000-00003"},{"key":"e_1_2_8_8_1","unstructured":"Joanna Briggs Institute Levels of Evidence: Joanna Briggs Institute;2014Available from URL:https:\/\/jbi.global\/sites\/default\/files\/2019-05\/JBI-Levels-of-evidence_2014_0.pdf."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-019-02486-4"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1480-6"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43019-021-00097-0"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2022.10.023"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001882"},{"key":"e_1_2_8_16_1","unstructured":"HubbardD.Immediate Weight Bearing Versus Protected Weight Bearing in Supracondylar Distal Femur Fractures.2022."},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/21514593211055889"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/21514593211070128"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/OI9.0000000000000234"},{"key":"e_1_2_8_20_1","article-title":"Early weight bearing after distal femur fractures in the elderly: a prospective, cohort pilot study","volume":"1","author":"Bruggers J","year":"2020","journal-title":"J. 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