Weight Bearing for Broken Hip
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial examines how soon individuals can safely begin weight-bearing after surgery for a broken pelvis or acetabulum (hip socket). The study compares immediate weight-bearing to a 6-12 week delay. It aims to determine if patients and doctors are willing to participate and adhere to the guidelines, and if the approach is safe. Candidates who have undergone surgery for a pelvis or hip socket fracture and can use assistive devices like crutches might be suitable. As an unphased trial, this study allows patients to contribute to important research that could enhance recovery protocols for future patients.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this protocol is safe for patients with pelvis or acetabulum fractures?
Research shows that it's generally safe to start putting weight on the leg after surgery for hip fractures, such as those in the pelvis or hip socket. For hip socket fractures, studies have found that early weight-bearing after surgery leads to good results after 12 weeks, with few issues if the fracture isn't pressed in.
For pelvis fractures, past studies suggest that early weight-bearing usually doesn't cause problems with the metal parts used to fix the bone. In fact, for some types of pelvic fractures, immediate weight-bearing is safe and effective.
Overall, early weight-bearing seems to be well-tolerated, with most patients not experiencing serious complications. The safety data is positive, but consulting a medical professional is essential to determine if it applies to a specific situation.12345Why are researchers excited about this trial?
Researchers are excited about the trial for weight-bearing protocols after surgery for hip fractures because it explores a groundbreaking approach to recovery. Unlike traditional methods that often involve extended bed rest or limited movement to allow healing, this trial investigates the potential benefits of early weight-bearing. The goal is to find out if encouraging patients to start bearing weight sooner can speed up recovery, improve mobility, and enhance overall outcomes. This approach could revolutionize post-surgical care by reducing the time patients spend immobile, potentially leading to faster rehabilitation and better long-term results.
What evidence suggests that immediate versus delayed weight bearing is effective for pelvis and acetabulum fractures?
This trial will compare different approaches to weight-bearing after surgery for hip fractures. Research has shown that early weight-bearing can be safe and beneficial for some hip fractures. For fractures in the hip socket (acetabulum), studies suggest that surgery often improves movement over time. In this trial, one group of participants with acetabulum fractures will receive operative treatment. Some doctors allow patients to start using their leg sooner, and many recover well. For pelvis fractures, another group in this trial will also receive operative treatment, and immediate weight-bearing has been found safe and effective in certain cases. Overall, many patients do well with early leg use, but the approach can vary depending on the individual case and the doctor's preference.46789
Are You a Good Fit for This Trial?
This trial is for individuals who have had surgery to fix a broken hip or acetabulum (part of the pelvis). They should be from one of the participating 7 medical centers. The study will exclude people based on specific criteria not listed here.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo surgical fixation of pelvis or acetabulum fractures and are randomized to immediate or delayed weight bearing
Follow-up
Participants are monitored for safety, compliance, and documentation accuracy, with a focus on surgical and medical complications
Extension/Long-term follow-up
Continued monitoring of reoperation rates and documentation accuracy
What Are the Treatments Tested in This Trial?
Interventions
- Weight Bearing After Pelvis and Acetabulum Fracture Fixation
Trial Overview
The study tests whether patients can safely put weight on their leg right after surgery ('Immediate Weight Bearing') versus waiting for 6-12 weeks ('Delayed Weight Bearing'). It's designed to see if such research is possible by looking at willingness to participate, compliance with weight bearing instructions, and ability to follow up with patients.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Mississippi Medical Center
Lead Sponsor
Citations
Early weight-bearing after acetabular fractures in the older ...
Post-surgery weight-bearing is often restricted for 8–12 weeks to avoid secondary fixation failure. However, non- or restricted weight-bearing ...
Permissive Weight-Bearing after Fixation of Displaced ...
After 8 weeks, patients may gradually increase weight-bearing to 100% over another 8 weeks.
Early weight bearing in acetabular and pelvic fractures - PMC
In a survey study on this fracture type 11% of the surgeons allowed full weight bearing, 46% partial weight bearing and 43% non-weight bearing. There was no ...
A Prospective Study on Functional Outcome of Surgical ...
Surgical management of acetabular fractures yields favorable functional outcomes with progressive improvement over time. Most demographic and ...
Doctor, When Should I Start Walking? Revisiting ...
However, the literature on weight-bearing status after fixation of an acetabulum fractures continues to empirically suggest at least 6 weeks ...
Permissive Weight-Bearing after Fixation of Displaced ...
Conclusions: Functional outcomes at 12 weeks were promising, and permissive weight-bearing appeared sufficiently safe in patients without impaction or ...
Permissive Weight-Bearing after Fixation of Displaced ...
Conclusions. Functional outcomes at 12 weeks were promising, and permissive weight-bearing appeared sufficiently safe in patients without impaction or ...
Early weight-bearing after acetabular fractures in the older ...
Post-surgery weight-bearing is often restricted for 8–12 weeks to avoid secondary fixation failure. However, non- or restricted weight-bearing ...
Outcomes after surgical treatment of acetabular fractures
Outcome correlated with 1) involvement of the weight-bearing dome (roof), 2) femoral head condition, 3) adequacy of reduction of the dislocation ...
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