Orthopaedics and Traumatology Unit, Department of Medical, Surgical and Life Sciences, Cattinara Hospital, Trieste University, Strada di Fiume 447, 34149, Trieste, Italy.
J Orthop Surg Res. 2022 May 12;17(1):261. doi: 10.1186/s13018-022-03156-8.
To review the current clinical evidence on advantages and risks of early weight bearing (EWB) after internal fixation for tibial plateau fracture.
Data source: PubMed and Google Scholar from inception of database to 20 August 2021, using PRISMA guidelines. The included studies were randomized controlled trials, prospective and retrospective observational studies, case reports. Data extraction was performed independently by 2 reviewers. Collected data were compared to verify agreement. Statistical analysis was not performed in this study.
The literature search produced 174 papers from PubMed and 186 from Google Scholar, with a total amount of 360 papers. The two reviewers excluded 301 papers by title or duplicates. Of the 59 remaining, 33 were excluded after reading the abstract, and 17 by reading the full text. Thus, 9 papers were finally included in the review.
EWB can be considered safe and effective in selected cases after internal fixation for tibial plateau fractures. Level of evidence Therapeutic Level III.
回顾胫骨平台骨折内固定术后早期负重（EWB）的优势和风险的现有临床证据。
资料来源：从数据库建立到 2021 年 8 月 20 日，使用 PRISMA 指南在 PubMed 和 Google Scholar 上进行数据检索。纳入的研究为随机对照试验、前瞻性和回顾性观察研究、病例报告。由 2 名评审员独立进行数据提取。收集的数据进行比较以验证一致性。本研究未进行统计学分析。
从 PubMed 检索出 174 篇文献，从 Google Scholar 检索出 186 篇文献，共检索出 360 篇文献。两名评审员通过标题或重复项排除了 301 篇文献。在阅读了 59 篇摘要后，有 33 篇被排除，在阅读了全文后，有 17 篇被排除。因此，最终有 9 篇文献被纳入综述。
在胫骨平台骨折内固定术后的特定情况下，可以考虑 EWB 是安全有效的。证据水平治疗 III 级。
