Skip to content
The determination of the weight-bearing time after bone plate fixation requires a comprehensive consideration of multiple factors, as follows:
First, based on the fracture site
The weight-bearing time varies among different fracture sites. For instance, after installing a plate for a tibial plateau fracture, it usually takes about three months before one can gradually bear weight. Around six weeks after the operation, one can walk partially with crutches on the ground. It generally takes about three months to walk completely without crutches, as it takes about half a year for the fracture to heal completely. It takes approximately 6 weeks to gradually increase the weight-bearing after internal ankle fixation, and it may take about 3 months to achieve full weight-bearing. After internal fixation of lumbar vertebrae fractures, it is generally necessary to gradually start weight-bearing between 4 and 6 months after the operation. During the 4 months after the operation, bed rest is required and any form of weight-bearing should be avoided. After more than 6 months after the operation, full weight-bearing can be gradually started, but excessive fatigue and strenuous exercise should still be avoided. The weight-bearing time after internal fixation of femoral head fractures is generally between 6 and 12 months, and the full weight-bearing exercise time is usually between 6 and 18 months. If the fracture is relatively minor, with good reduction at the fracture end and stable fixation, partial weight-bearing may start 2 to 3 months after the operation. If the fracture is more severe, such as comminuted fracture, It may take 4 to 6 months after the operation before the weight-bearing can be gradually increased.
Second, consider the healing condition of the fracture
Regular X-ray examinations are required after the operation to understand the healing of fractures. Under normal circumstances, an X-ray should be taken between one month and one and a half months. The amount of weight-bearing should be determined based on the healing of the fracture as shown in the X-ray. Start with about 20% to 30% of the weight-bearing body and gradually increase the weight-bearing force.
Third, take into account individual factors of the patient
Age: Young people have a stronger ability to repair tissues, so they can start weight training earlier. On the contrary, the elderly have a weaker ability to repair themselves and will take longer to recover.
Physical condition: If the patient has osteoporosis or other diseases that affect fracture healing, the weight-bearing time may be extended accordingly.
Rehabilitation training situation: Under the guidance of a doctor, rehabilitation training can help patients restore joint range of motion and muscle strength, and also promote fracture healing, thereby affecting the duration of weight-bearing. Rehabilitation training includes muscle strength training, joint range of motion training, balance training, etc.