TRAUMA
2013 OTA Annual Meeting: Can All Tibial Shaft Fractures Bear Weight Following Intramedullary Nailing? A Randomized Clinical Trial
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(16):4746 patients with tibial shaft fractures were randomly assigned into 1 of 2 groups to test the effect of immediate weight bearing following intramedullary nailing. One group began weight bearing activities directly after treatment as tolerated while the other group waited 6 weeks before any weight bearing occurred. Results demonstrated that immediate weight bearing following intramedullary nailing of tibial shaft fractures does not increase complication rate, or negatively affect time to union.
学会報告
このACE報告は、学会発表または抄録の要約です。提供された情報により、バイアスのリスクや全体的な質の正確な評価を提供することには限界があります。臨床試験が進行中であったり、選択された結果が発表されている可能性があるため、結果を慎重に解釈してください。
なぜ今この研究が必要なのですか？
In current orthopaedic treatment there is no agreement regarding the appropriate postoperative weight-bearing status following the intramedullary (IM) nailing of tibial shaft fractures. This study was brought forward to examine the potential benefits and risks associated with immediate postoperative weight bearing when compared to no weight bearing for the first 6 postoperative weeks.
主な研究課題は何ですか？
Does immediate postoperative weight bearing following the intramedullary nailing of tibial shaft fractures result in equivalent clinical outcomes when compared to no weight bearing for 6 weeks following completion of the operation?
重要な知見は？
- The WBAT and NWB groups did not differ in terms of demographics, ISS, open/closed fracture status, or fracture pattern.
- No difference in observed time to union was found between groups (p>0.05).
- Complication rates for hardware failure and delayed/ nonunion were comparable between the groups (p>0.05).
- No incidents, in either group, of significant loss of reduction leading to malunion were found.
- SMFA scores for all domains were similar between the groups at 6 weeks postoperative follow up and at time of union.
最も覚えておくべきことは？
No differences were found between groups with regards to complication rate, union rate, or SMFA score. Neither postoperative treatment method resulted in a significant loss of reduction that lead to malunion.
それが私の患者ケアにどのように影響するか？
Immediate weight bearing following intramedullary nailing of tibial shaft fractures does not increase the incidence of adverse events or complications following fractured tibial shaft treatment. Further research should be completed regarding the possible benefits immediate weight beading might have on patients recovering from tibial shaft fractures.
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