Eerder belast mobiliseren na fractuurfixatie

Autor: Brink, P R G, Verleisdonk, E J M M, Blokhuis, T J
Přispěvatelé: RS: NUTRIM - R3 - Respiratory & Age-related Health, Surgery, MUMC+: TPZ Netwerk Acute Zorg Limburg (9), RS: NUTRIM - R2 - Gut-liver homeostasis, MUMC+: MA Heelkunde (9)
Jazyk: Dutch; Flemish
Rok vydání: 2017
Předmět:
Zdroj: Nederlands Tijdschrift voor Geneeskunde, 161. Bohn Stafleu van Loghum
ISSN: 0028-2162
Popis: Almost all the literature dictates a period of non-weight-bearing after surgical treatment of articular and peri-articular fractures of the pelvis and lower extremities. This is followed by partial weight-bearing which is based on the number of weeks after surgery. However, none of these recommendations are based on evidence. When taking muscle force and gravity into account, non-weight-bearing is actually impossible. In addition, lack of patient compliance, lack of muscle force in the elderly and four-fold energy expenditure make it almost impossible to ensure that patients will adhere to their surgeon's restrictions. Based on our experiences in a large cohort of patients with fractures of the pelvis and lower extremities, we see no drawbacks in permissive weight-bearing and early recovery in most cases. We strongly believe that most patients are able to listen to their body and understand body awareness, while the creation of a safe environment makes more personalised follow-up treatment possible.
Databáze: OpenAIRE