Immediate full weightbearing with additive cerclage improves early mobility after tibial shaft spiral fractures.

ABSTRACT: In recent years, the trend in orthopedic and trauma surgery has shifted towards earlier mobilization with reduced weightbearing restrictions to enhance patient recovery. Tibial-shaft-spiral-fractures pose a challenge for early mobilization. This study examines the use of additive cerclages, which allow for immediate full-weightbearing, and compares it to the standard-of-care (SOC) treatment with partial-weightbearing. The primary aim was to evaluate mobility, return-to-daily-activities, and safety outcomes. This prospective multicenter study included 36 patients with tibial-shaft-spiral-fractures. Group1 (n = 20) received an additive cerclage and was permitted immediate full weightbearing-as-tolerated, while Group2 (n = 16) followed SOC with 20 kg partial weightbearing for 6 weeks. Gait an

SUBMITTER: Lisitano L 

PROVIDER: S-EPMC12549978 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature