Early Weight Bearing After Surgery Shows Strong Outcomes
August 28, 2025
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2 min
A systematic review of 20 studies involving 1,051 patients with unilateral displaced intraarticular calcaneal fractures indicated that traditional prolonged non-weight-bearing rehabilitation may be needlessly restrictive. With a median patient age of 44 and 79% being men, outcomes showed high function scores (mean AOFAS 86, Maryland Foot Score 91) and low pain levels after early weight-bearing protocols. Complication rates remained within expected limits, but a lack of randomized trials highlights the need for updated, evidence-based rehabilitation strategies.
1. Systematic review of 20 studies on calcaneal fractures.2. Involved 1,051 patients, median age 44 years, 79% men.3. Challenges prolonged non-weight-bearing approaches.4. Early weight-bearing led to favorable outcomes.5. Mean AOFAS score of 86 reported.6. Overall median complication rate of 14%.7. Recommendations for randomized controlled trials.8. Various surgical techniques used: extensile, sinus tarsi, percutaneous.
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