{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T10:31:14Z","timestamp":1776853874481,"version":"3.51.2"},"reference-count":35,"publisher":"Medical Association of Zenica-Doboj","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2020,10,9]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;To establish a correlation between immediate post-surgical weight bearing in extracapsular hip fractures and final functional outcome as well as to study the correlation between immediate post-surgical weight bearing and morbidity and mortality during the first year.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods &amp;lt;\/strong&amp;gt;&amp;lt;br \/&amp;gt;Retrospective observational cohort study including 495 consecutive patients &amp;amp;ge;75 years old operated of extracapsular proximal femur fracture. Medical records were reviewed and information of demographic data, radiological evolution, time to weight-bearing, mortality rate, medical and surgical complications and final ambulation status were recorded.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;\/strong&amp;gt;&amp;lt;br \/&amp;gt;Patients&amp;amp;rsquo; mean age was 87 years; 378 (76.4%) were females. One-year mortality rate was 21.2%. Immediate weight bearing was associated with: decreased hospital stays (7.5 days vs. 9.2 days; p=0.001) and decreased medical complications (78.3% vs. 82.3 %; p=0.02). Surgical complications prevalence was comparable (4.4% vs. 7.8 %; p=0.43) within the groups. Despite mortality rate was lower in patients with immediate weight bearing (21%) compared with delayed weight bearing (21.4%), the difference was not statistically significant (p=0.9).&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Immediate weight bearing was associated with shorter hospital stay and fewer medical complications, improving functional outcome. Also, no correlation was found between immediate weight bearing and increased surgical complications or mortality rate during first year after surgery.&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/1276-21","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"280-286","source":"Crossref","is-referenced-by-count":3,"title":["Key factors influencing clinical and functional outcomes in extracapsular proximal femur fractures: the role of early weightbearing - one-year follow-up cohort of 495 patients"],"prefix":"10.17392","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7437-6826","authenticated-orcid":false,"given":"Enrique","family":"Sanchez-Munoz","sequence":"first","affiliation":[{"name":"University Hospital Centre of Toledo","place":["Toledo,Spain"],"department":["Orthopaedic Surgery Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Lozano-Hernanz","sequence":"additional","affiliation":[{"name":"University Hospital Centre of Toledo","place":["Toledo,Spain"],"department":["Orthopaedic Surgery Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Vicente","family":"Velarde-Garrido","sequence":"additional","affiliation":[{"name":"University Hospital Centre of Toledo","place":["Toledo,Spain"],"department":["Orthopaedic Surgery Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leticia","family":"Alarma-Barcia","sequence":"additional","affiliation":[{"name":"University Hospital Centre of Toledo","place":["Toledo,Spain"],"department":["Orthopaedic Surgery Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor Trivino","family":"Sanchez-Mayoral","sequence":"additional","affiliation":[{"name":"University Hospital Centre of Toledo","place":["Toledo,Spain"],"department":["Orthopaedic Surgery Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Romera-Olivera","sequence":"additional","affiliation":[{"name":"University Hospital Centre of Toledo","place":["Toledo,Spain"],"department":["Orthopaedic Surgery Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Lopez Palacios","sequence":"additional","affiliation":[{"name":"University Hospital Centre of Toledo","place":["Toledo,Spain"],"department":["Orthopaedic Surgery Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s00402-017-2803-y","article-title":"Which factors are independent predictors of early recovery of mobility in the older adults' population after hip fracture? A cohort prognostic study","author":"MMorriM","year":"2018","unstructured":"Morri M, Forni C, Marchioni M, Bonetti E, Marseglia \nF, Cotti A. Which factors are independent predictors \nof early recovery of mobility in the older adults' po-\npulation after hip fracture? A cohort prognostic study. \nArch Orthop Trauma Surg 2018; 138:35-41.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"Suppl 1","key":"ref2","first-page":"57","article-title":"Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail","author":"RsbPetrosRsb","year":"2017","unstructured":"Petros RSB, Ferreira PEV, Petros RSB. Influence of \nproximal femur fractures in the autonomy and mor-\ntality of elderly patients submitted to osteosynthesis \nwith cephalomedullary nail. 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BMC Musculoskelet Disord 2013; 14:1.","journal-title":"BMC Musculoskelet Disord"},{"key":"ref34","first-page":"26","article-title":"A functional recovery score for elderly hip fracture patients: II. Validity and reliability","author":"JZuckermanJ","year":"2000","unstructured":"Zuckerman JD, Koval KJ, Aharonoff GB, Skovron \nML. A functional recovery score for elderly hip \nfracture patients: II. Validity and reliability. J Orthop \nTrauma 2000; 14:26-30.","journal-title":"J Orthop Trauma"},{"key":"ref35","first-page":"1972","article-title":"Type of hip fracture determines load share in intramedullary osteosynthesis","author":"SEberleS","year":"2009","unstructured":"Eberle S, Gerber C, Von Oldenburg G, Hungerer S, \nAugat P. Type of hip fracture determines load share in \nintramedullary osteosynthesis. Clin Orthop Relat Res \n2009; 467:1972-80.","journal-title":"Clin Orthop Relat Res"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/214\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/214\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:44:52Z","timestamp":1775468692000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/377\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,9]]},"references-count":35,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,10,9]]},"published-print":{"date-parts":[[2020,10,9]]}},"URL":"https:\/\/doi.org\/10.17392\/1276-21","archive":["Internet Archive"],"relation":{},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,9]]}}}