Immediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients

Brian Cunningham; Jennifer Tangtiphaiboontana; Hrayr Basmajian; Ryan Mclemore; Brian Miller; Anthony Rhorer; Gilbert Ortega

doi:10.1016/j.jotr.2017.08.004

Immediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients

Brian Cunningham, Jennifer Tangtiphaiboontana, Hrayr Basmajian, Ryan Mclemore, Brian Miller, Anthony Rhorer, Gilbert Ortega

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Background: Clavicle fractures are common injuries in the polytrauma population and frequently limit early mobilisation. This study evaluates the effect of immediate crutch weight-bearing (WB) in polytrauma patients after surgical stabilisation of a displaced midshaft clavicle fracture. Methods: A retrospective review identified 26 polytrauma patients with operatively managed displaced midshaft clavicle fractures and a non–weight-bearing (NWB) lower extremity injury. Patients were allowed immediate WB after surgery or NWB. The primary outcome was total hospital length of stay. Statistical analysis was done using Mann–Whitney U test. Results: The WB group had decreased total hospital length of stay (10.4 vs. 17.0 days, p = 0.012) and improved physical therapy score (3.9 vs. 2.9, p = 0.054) and postoperative length of stay (6.8 vs. 12.7 days, p = 0.006) compared with the NWB group. Conclusions: Our data suggest that an immediate WB as tolerated protocol for polytrauma patients after surgical fixation of displaced clavicle fractures may decrease the overall length of stay.

Original language	English (US)
Pages (from-to)	16-20
Number of pages	5
Journal	Journal of Orthopaedics, Trauma and Rehabilitation
Volume	25
DOIs	https://doi.org/10.1016/j.jotr.2017.08.004
State	Published - Dec 2018

Bibliographical note

Publisher Copyright:
© 2017 HK Orthopaedic Association and HK Orthopaedic College

Keywords

clavicle fracture
early WB
length of stay
polytrauma

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10.1016/j.jotr.2017.08.004

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Cunningham, B., Tangtiphaiboontana, J., Basmajian, H., Mclemore, R., Miller, B., Rhorer, A., & Ortega, G. (2018). Immediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients. Journal of Orthopaedics, Trauma and Rehabilitation, 25, 16-20. https://doi.org/10.1016/j.jotr.2017.08.004

Immediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients. / Cunningham, Brian; Tangtiphaiboontana, Jennifer; Basmajian, Hrayr et al.
In: Journal of Orthopaedics, Trauma and Rehabilitation, Vol. 25, 12.2018, p. 16-20.

Research output: Contribution to journal › Article › peer-review

Cunningham, B, Tangtiphaiboontana, J, Basmajian, H, Mclemore, R, Miller, B, Rhorer, A & Ortega, G 2018, 'Immediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients', Journal of Orthopaedics, Trauma and Rehabilitation, vol. 25, pp. 16-20. https://doi.org/10.1016/j.jotr.2017.08.004

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abstract = "Background: Clavicle fractures are common injuries in the polytrauma population and frequently limit early mobilisation. This study evaluates the effect of immediate crutch weight-bearing (WB) in polytrauma patients after surgical stabilisation of a displaced midshaft clavicle fracture. Methods: A retrospective review identified 26 polytrauma patients with operatively managed displaced midshaft clavicle fractures and a non–weight-bearing (NWB) lower extremity injury. Patients were allowed immediate WB after surgery or NWB. The primary outcome was total hospital length of stay. Statistical analysis was done using Mann–Whitney U test. Results: The WB group had decreased total hospital length of stay (10.4 vs. 17.0 days, p = 0.012) and improved physical therapy score (3.9 vs. 2.9, p = 0.054) and postoperative length of stay (6.8 vs. 12.7 days, p = 0.006) compared with the NWB group. Conclusions: Our data suggest that an immediate WB as tolerated protocol for polytrauma patients after surgical fixation of displaced clavicle fractures may decrease the overall length of stay.",

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AU - Rhorer, Anthony

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N2 - Background: Clavicle fractures are common injuries in the polytrauma population and frequently limit early mobilisation. This study evaluates the effect of immediate crutch weight-bearing (WB) in polytrauma patients after surgical stabilisation of a displaced midshaft clavicle fracture. Methods: A retrospective review identified 26 polytrauma patients with operatively managed displaced midshaft clavicle fractures and a non–weight-bearing (NWB) lower extremity injury. Patients were allowed immediate WB after surgery or NWB. The primary outcome was total hospital length of stay. Statistical analysis was done using Mann–Whitney U test. Results: The WB group had decreased total hospital length of stay (10.4 vs. 17.0 days, p = 0.012) and improved physical therapy score (3.9 vs. 2.9, p = 0.054) and postoperative length of stay (6.8 vs. 12.7 days, p = 0.006) compared with the NWB group. Conclusions: Our data suggest that an immediate WB as tolerated protocol for polytrauma patients after surgical fixation of displaced clavicle fractures may decrease the overall length of stay.

AB - Background: Clavicle fractures are common injuries in the polytrauma population and frequently limit early mobilisation. This study evaluates the effect of immediate crutch weight-bearing (WB) in polytrauma patients after surgical stabilisation of a displaced midshaft clavicle fracture. Methods: A retrospective review identified 26 polytrauma patients with operatively managed displaced midshaft clavicle fractures and a non–weight-bearing (NWB) lower extremity injury. Patients were allowed immediate WB after surgery or NWB. The primary outcome was total hospital length of stay. Statistical analysis was done using Mann–Whitney U test. Results: The WB group had decreased total hospital length of stay (10.4 vs. 17.0 days, p = 0.012) and improved physical therapy score (3.9 vs. 2.9, p = 0.054) and postoperative length of stay (6.8 vs. 12.7 days, p = 0.006) compared with the NWB group. Conclusions: Our data suggest that an immediate WB as tolerated protocol for polytrauma patients after surgical fixation of displaced clavicle fractures may decrease the overall length of stay.

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Immediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients

Abstract

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