Alves Débora Pinheiro Lédio, Wun Paloma Yan Lam, Alves Andréia Lima, Christian Ralph Walter, Mercadante Marcelo Tomanik, Hungria José Octávio
Departamento de Reabilitação, Faculdade de Ciências Médicas, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Rev Bras Ortop (Sao Paulo). 2020 Aug;55(4):404-409. doi: 10.1055/s-0039-3402454. Epub 2020 Apr 2.
Tibial plateau fractures are a risk to the functional integrity of the knee, affecting the axial alignment and capable of leading to pain and disability of the individual. Early weight bearing and joint mobilization can prevent these functional deficits. the goal of the present study was to conduct a systematic review of the literature about studies that quote the beginning, evolution, and progression criteria for weight-bearing in postoperative period of tibial plateau fractures. We selected articles published in the last 12 years, in Portuguese and English, that described the time of onset and progression of weight-bearing, considering the severity of the fracture. Thirty-six articles were selected. There is no consensus in the literature as to the beginning and evolution of weight-bearing in the postoperative period of tibial plateau fractures; however, a relationship between the severity of the fracture and the fixation method has been observed.
胫骨平台骨折会对膝关节的功能完整性构成风险,影响轴向对线,并可能导致个体疼痛和残疾。早期负重和关节活动可预防这些功能缺陷。本研究的目的是对有关胫骨平台骨折术后负重开始、演变和进展标准的研究文献进行系统综述。我们选择了过去12年以葡萄牙语和英语发表的文章,这些文章描述了考虑骨折严重程度的负重开始时间和进展情况。共筛选出36篇文章。关于胫骨平台骨折术后负重的开始和演变,文献中尚无共识;然而,已观察到骨折严重程度与固定方法之间的关系。