Proefschrift

Chapter 7 84 Abstract Background The aim of the present study was to investigate the effectiveness of a novel approach involving permissive weight bearing (PWB) in surgically treated trauma patients with peri- and intra-articular fractures of the lower extremities. This paper reports on patients’ self-perceived outcome levels regarding activities of daily living (ADL), quality of life (QoL), pain and weight bearing compliance, in comparison to restricted weight bearing (RWB), over a 26-week post-surgery follow-up period. Methods This prospective comparative multicenter cohort study included surgically treated trauma patients with peri- and intra-articular fractures of the lower extremities. Primary outcome: ADL. Secondary outcomes: QoL, pain, compliance as measured with insoles, and postoperative complications. Measurements were performed at 2, 6, 12 and 26 weeks post-surgery. Results This study included 106 trauma patients (N=53 in both the PWB and RWB groups). Significantly better ADL and QoL were found in the PWB group compared to the RWB group at 2, 6, 12 and 26 weeks post-surgery. There were no significant differences in postoperative complication rates between the PWB and RWB groups. Conclusion PWB is effective and is associated with a significantly reduced time to full weight bearing, and a significantly better outcome regarding ADL and QoL compared to patients who followed RWB regimen. Moreover, no significant differences in complication rates were found between the PWB and RWB groups.

RkJQdWJsaXNoZXIy MjY0ODMw