Proefschrift

Chapter 3 28 Frequently mentioned reasons for starting weight bearing earlier or later were fracture type [N=87 (78.4%) and N=83 (74.8%), respectively], certainty or uncertainty of fixation quality [N=66 (59.5%) and N=74 (66.7%), respectively], age [N=46 (41.4%) and N=38 (34.2%), respectively] and additional traumata [N=0 (0.0%) and N=50 (45%), respectively]. The two most important influencing aspects to bear weight earlier or later is the type of fracture and the certainty or uncertainty of fixation, (Figure 3.3). Figure 3.3 Which criteria are used to decide earlier or later weight bearing? Surgeons who recommended starting weight bearing immediately or after 2 weeks mostly commenced with a low dosage (10%-25%) of weight bearing (Table 3.2). If weight bearing started 6 weeks post-operatively, this was mainly at 50% (27 respondents) or 10%-25% (21 respondents) of the maximum level. When patients started weight bearing 12 weeks after the surgical treatment, 10 out of 11 surgeons recommended starting immediately with 100% weight bearing. Since it is important to know what surgeons regard as “100% weight bearing”, we asked for their definition of “100% weight bearing”, results of which are shown in Figure 3.4. The majority, i.e. 45 (40.5%) respondents, defined this as “walking without crutches”, 35 (31.5%)

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