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Review Question - QID 960

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QID 960 (Type "960" in App Search)
A polytrauma patient sustains a right bicondylar tibial plateau fracture and a right humeral shaft fracture both treated with open reduction and internal fixation. He also underwent statically locked intramedullary nailing of a left femoral shaft fracture. What is the appropriate weightbearing status?

Non-weight bearing bilateral lower extremities and right upper extremity

4%

47/1159

Weight bearing as tolerated bilateral lower extremities and right upper extremity

2%

24/1159

Non-weight bearing left lower extremity and weight bearing as tolerated right upper and right lower extremities

2%

23/1159

Non-weight bearing right lower extremity and weight bearing as tolerated right upper and left lower extremities

88%

1020/1159

Weight bearing as tolerated bilateral lower extremities and non-weight bearing right upper extremity

3%

35/1159

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The standard treatment for a bicondylar tibial plateau fractures is a period of post-operative non-weight bearing.

Tingstad et al found favorable results of immediate weightbearing on humeral shaft fractures treated with plating and full weightbearing did not have any effect on the union or malunion rates.

Brumback et al evaluated the feasibility, safety and efficacy of immediate weightbearing after treatment of femoral shaft fractures with statically locked IM nail. All the patients went on to union and no loss of fixation occurred.

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