Early Weight Bearing pada Pasien Post Operasi Fraktur Ekstremitas Bawah
Abstract
This study aims to identify and analyze the effectiveness of weight bearing in postoperative lower extremity fractures. The method used is to review the literature results by analyzing data systematically using a checklist of protocols and rules (PRISMA) and for the feasibility of the study results using the PICO framework. Search for articles using three online databases, namely Science Direct, Google scholar, and PubMed. The results showed that the five pieces discussed the impact of early weight bearing on postoperative lower extremity patients with discussions that had a positive effect—withholding weight / early weight bearing results reducing the incidence of thromboembolic disease. Active movement can reduce joint stiffness, maintain muscle mass, and the ability to return to activities. In conclusion, early weight bearing can be used to increase muscle strength after surgery for lower extremity fracture.
Keywords: Orthopedic surgery, Lower extremity fracture
References
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Khojaly, R., Rowan, F. E., Hassan, M., Hanna, S., & mac Niocail, R. (2022). Weight-bearing Allowed Following Internal Fixation of Ankle Fractures, A Systematic Literature Review and Meta-Analysis. Foot and Ankle International, 43(9), 1143–1156. https://doi.org/10.1177/10711007221102142
Kuru, T., & Olcar, H. A. (2020). Effects of Early Mobilization and Weight Bearing on Postoperative Walking Ability and Pain In Geriatric Patients Operated Due to Hip Fracture: A Retrospective Analysis. Turkish Journal of Medical Sciences, 50(1), 117–125. https://doi.org/10.3906/sag-1906-57
Murena, L., Canton, G., Hoxhaj, B., Sborgia, A., Fattori, R., Gulli, S., & Vaienti, E. (2021). Early Weight Bearing in Acetabular and Pelvic Fractures. Acta Biomedica, 92(4). https://doi.org/10.23750/abm.v92i4.10787
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Peuchot, H., Falguières, J., Cermolacce, M., le Baron, M., & Flecher, X. (2022). Resumption of Complete Weight Bearing after Osteosynthesis of Bimalleolar Fractures Using Locking Plates. Orthopaedics and Traumatology: Surgery and Research, 108(7). https://doi.org/10.1016/j.otsr.2022.103382
Pristianto et al. (2023). Effectiveness of Early Postoperative Exercise Program in Post HIP Arthoplasty Patients. Gaster Jurnal Kesehatan, 21(1), 33–40. https://journal.aiska-university.ac.id/index.php/gaster
Purwanty, E., Maria, R., & Masfuri. (2021). 20- Degree Elevation to Reduce Swelling and Pain after Lower Extremity Open Reduction and Internal Fixation Surgery. Jurnal Keperawatan Indonesia, 24(3), 131–139. https://doi.org/10.7454/JKI.V24I3.1000
Risnah, R., Risnawati, H. R., Azhar, M. U., & Irwan, M. (2019). Terapi Non Farmakologi dalam Penanganan Diagnosis Nyeri Akut pada Fraktur: Systematic Review. Journal of Islamic Nursing, 4(2), 77-87. https://journal.uin-alauddin.ac.id/index.php/join/article/view/10708
Schubert, J., Lambers, K. T. A., Kimber, C., Denk, K., Cho, M., Doornberg, J. N., & Jaarsma, R. L. (2020). Effect on Overall Health Status with Weightbearing at 2 Weeks vs 6 Weeks after Open Reduction and Internal Fixation of Ankle Fractures. Foot and Ankle International, 41(6), 658–665. https://doi.org/10.1177/1071100720908853
Smeeing, D. P. J., Houwert, R. M., Briet, J. P., Groenwold, R. H. H., Lansink, K. W. W., Leenen, L. P. H., van der Zwaal, P., Hoogendoorn, J. M., van Heijl, M., Verleisdonk, E. J., Segers, M. J. M., & Hietbrink, F. (2020). Weight-Bearing or Non-Weight-Bearing after Surgical Treatment of Ankle Fractures: A Multicenter Randomized Controlled Trial. European Journal of Trauma and Emergency Surgery, 46(1), 121–130. https://doi.org/10.1007/s00068-018-1016-6
Toemen, A., Collocott, S., & Heiss-Dunlop, W. (2021). Short Term Outcomes Following Open Reduction Internal Fixation Surgery for a Distal Radius Fracture: 2 Week Versus 4 Week Immobilization. A Retrospective Analysis. Geriatric Orthopaedic Surgery and Rehabilitation, 12. https://doi.org/10.1177/21514593211004528
Wirayuni, S., & Arista, L. (2021). Isometric Exercise of Quadriceps and Gluteal Muscle in Patient with Close Femur Fracture. JIKO (Jurnal Ilmiah Keperawatan Orthopedi), 5(1), 9–16. https://doi.org/10.46749/jiko.v5i1.56
Zyskowski, M., Wurm, M., Greve, F., Pesch, S., von Matthey, F., Pflüger, P., Crönlein, M., Biberthaler, P., & Kirchhoff, C. (2021). Is Early Full Weight Bearing Safe Following Locking Plate Orif of Distal Fibula Fractures? BMC Musculoskeletal Disorders, 22(1). https://doi.org/10.1186/s12891-021-04009-x
Andri, J., Febriawati, H., Padila, P., J, H., & Susmita, R. (2020). Nyeri pada Pasien Post Op Fraktur Ekstremitas Bawah dengan Pelaksanaan Mobilisasi dan Ambulasi Dini. Journal of Telenursing (JOTING), 2(1), 61-70. https://doi.org/10.31539/joting.v2i1.1129
Bretherton, C. P., Claireaux, H. A., Achten, J., Athwal, A., Dutton, S. J., Peckham, N., Petrou, S., Kearney, R. S., Appelbe, D., & Griffin, X. L. (2021). Protocol for the Weight-bearing in Ankle Fractures (WAX) Trial: A Multicentre Prospective Non-Inferiority Trial of Early Versus Delayed Weight-Bearing after Operatively Managed Ankle Fracture. BMC Musculoskeletal Disorders, 22(1). https://doi.org/10.1186/s12891-021-04560-7
Canton, G., Sborgia, A., Dussi, M., Rasio, N., & Murena, L. (2022). Early Weight Bearing in Tibial Plateau Fractures Treated with Orif: A Systematic Review of Literature. Journal of Orthopaedic Surgery and Research, 17(1). https://doi.org/10.1186/s13018-022-03156-8
Consigliere, P., Iliopoulos, E., Ads, T., & Trompeter, A. (2019). Early Versus Delayed Weight Bearing after Surgical Fixation of Distal Femur Fractures: A Non-Randomized Comparative Study. European Journal of Orthopaedic Surgery and Traumatology, 29(8), 1789–1794. https://doi.org/10.1007/s00590-019-02486-4
Deng, Z. B., Wu, J. P., Tang, K. Y., Shu, H., Wang, T., Li, F. B., & Nie, M. (2021). In Adults, Early Mobilization May Be Beneficial for Distal Radius Fractures Treated with Open Reduction And Internal Fixation: A Systematic Review and Meta-Analysis. Journal of Orthopaedic Surgery and Research, 16(1). https://doi.org/10.1186/s13018-021-02837-0
Dimitroulias, A. (2022). Ankle Tibiotalocalcaneal Nailing in Elderly Ankle Fractures as an Alternative to Open Reduction Internal Fixation: Technique And Literature Review. OTA International: The Open Access Journal of Orthopaedic Trauma, 5(3), e183. https://doi.org/10.1097/oi9.0000000000000183
Ghaddaf, A. A., Abdulhamid, A. S., Alomari, M. S., Alquhaibi, M. S., Alshehri, A. A., & Alshehri, M. S. (2021). Comparison of Immobilization Periods Following Open Reduction and Internal Fixation of Distal Radius Fracture: A Systematic Review and Meta-Analysis. Journal of Hand Therapy. https://doi.org/10.1016/j.jht.2021.06.004
Henkelmann, R., Palke, L., Schneider, S., Müller, D., Karich, B., Mende, M., Josten, C., & Böhme, J. (2021). Impact of Anti-Gravity Treadmill Rehabilitation Therapy on the Clinical Outcomes after Fixation of Lower Limb Fractures: A Randomized Clinical Trial. Clinical Rehabilitation, 35(3), 356–366. https://doi.org/10.1177/0269215520966857
Khojaly, R., Rowan, F. E., Hassan, M., Hanna, S., & mac Niocail, R. (2022). Weight-bearing Allowed Following Internal Fixation of Ankle Fractures, A Systematic Literature Review and Meta-Analysis. Foot and Ankle International, 43(9), 1143–1156. https://doi.org/10.1177/10711007221102142
Kuru, T., & Olcar, H. A. (2020). Effects of Early Mobilization and Weight Bearing on Postoperative Walking Ability and Pain In Geriatric Patients Operated Due to Hip Fracture: A Retrospective Analysis. Turkish Journal of Medical Sciences, 50(1), 117–125. https://doi.org/10.3906/sag-1906-57
Murena, L., Canton, G., Hoxhaj, B., Sborgia, A., Fattori, R., Gulli, S., & Vaienti, E. (2021). Early Weight Bearing in Acetabular and Pelvic Fractures. Acta Biomedica, 92(4). https://doi.org/10.23750/abm.v92i4.10787
Park, J. Y., Kim, B. S., Kim, Y. M., Cho, J. H., Choi, Y. R., & Kim, H. N. (2021). Early Weightbearing Versus Nonweightbearing after Operative Treatment of an Ankle Fracture: A Multicenter, Noninferiority, Randomized Controlled Trial. American Journal of Sports Medicine, 49(10), 2689–2696. https://doi.org/10.1177/03635465211026960
Peuchot, H., Falguières, J., Cermolacce, M., le Baron, M., & Flecher, X. (2022). Resumption of Complete Weight Bearing after Osteosynthesis of Bimalleolar Fractures Using Locking Plates. Orthopaedics and Traumatology: Surgery and Research, 108(7). https://doi.org/10.1016/j.otsr.2022.103382
Pristianto et al. (2023). Effectiveness of Early Postoperative Exercise Program in Post HIP Arthoplasty Patients. Gaster Jurnal Kesehatan, 21(1), 33–40. https://journal.aiska-university.ac.id/index.php/gaster
Purwanty, E., Maria, R., & Masfuri. (2021). 20- Degree Elevation to Reduce Swelling and Pain after Lower Extremity Open Reduction and Internal Fixation Surgery. Jurnal Keperawatan Indonesia, 24(3), 131–139. https://doi.org/10.7454/JKI.V24I3.1000
Risnah, R., Risnawati, H. R., Azhar, M. U., & Irwan, M. (2019). Terapi Non Farmakologi dalam Penanganan Diagnosis Nyeri Akut pada Fraktur: Systematic Review. Journal of Islamic Nursing, 4(2), 77-87. https://journal.uin-alauddin.ac.id/index.php/join/article/view/10708
Schubert, J., Lambers, K. T. A., Kimber, C., Denk, K., Cho, M., Doornberg, J. N., & Jaarsma, R. L. (2020). Effect on Overall Health Status with Weightbearing at 2 Weeks vs 6 Weeks after Open Reduction and Internal Fixation of Ankle Fractures. Foot and Ankle International, 41(6), 658–665. https://doi.org/10.1177/1071100720908853
Smeeing, D. P. J., Houwert, R. M., Briet, J. P., Groenwold, R. H. H., Lansink, K. W. W., Leenen, L. P. H., van der Zwaal, P., Hoogendoorn, J. M., van Heijl, M., Verleisdonk, E. J., Segers, M. J. M., & Hietbrink, F. (2020). Weight-Bearing or Non-Weight-Bearing after Surgical Treatment of Ankle Fractures: A Multicenter Randomized Controlled Trial. European Journal of Trauma and Emergency Surgery, 46(1), 121–130. https://doi.org/10.1007/s00068-018-1016-6
Toemen, A., Collocott, S., & Heiss-Dunlop, W. (2021). Short Term Outcomes Following Open Reduction Internal Fixation Surgery for a Distal Radius Fracture: 2 Week Versus 4 Week Immobilization. A Retrospective Analysis. Geriatric Orthopaedic Surgery and Rehabilitation, 12. https://doi.org/10.1177/21514593211004528
Wirayuni, S., & Arista, L. (2021). Isometric Exercise of Quadriceps and Gluteal Muscle in Patient with Close Femur Fracture. JIKO (Jurnal Ilmiah Keperawatan Orthopedi), 5(1), 9–16. https://doi.org/10.46749/jiko.v5i1.56
Zyskowski, M., Wurm, M., Greve, F., Pesch, S., von Matthey, F., Pflüger, P., Crönlein, M., Biberthaler, P., & Kirchhoff, C. (2021). Is Early Full Weight Bearing Safe Following Locking Plate Orif of Distal Fibula Fractures? BMC Musculoskeletal Disorders, 22(1). https://doi.org/10.1186/s12891-021-04009-x
Published
2023-03-06
Section
Articles
Copyright (c) 2023 Enny Selawaty Boangmanalu, Masfuri Masfuri, Liya Arista
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
