International Orthopaedics

| 2017

Weight-bearing recommendations after operative fracture treatment – fact or fiction? Gait results with and feasibilityof a dynamic, continuous pedobarography insole


Rehabilitation after lower-extremity fractures is based on the physicians’ recommendation for non-, partial-, or full weight-bearing. Clinical studies rely on this assumption, but continuous compliance or objective loading rates are unknown. The purpose of this study was to determine the compliance to weight-bearing recommendations by introducing a novel, pedobarography system continuously registering postoperative ground forces into ankle, tibial shaft and proximal femur fracture aftercare and test its feasibility for this purpose.


In this prospective, observational study, a continuously measuring pedobarography insole was placed in the patients shoe during the immediate post-operative aftercare after ankle, tibial shaft and intertrochanteric femur fractures. Weight-bearing was ordered as per the institutional standard and controlled by physical therapy. The insole was retrieved after a maximum of six weeks (28 days [range 5–42 days]). Non-compliance was defined as a failure to maintain, or reach the ordered weight-bearing within 30%.


Overall 30 patients were included in the study. Fourteen (47%) of the patients were compliant to the weight-bearing recommendations. Within two weeks after surgery patients deviated from the recommendation by over 50%. Sex, age and weight did not influence the performance (p > 0.05). Ankle fracture patients (partial weight-bearing) showed a significantly increased deviation from the recommendation (p =0.01).


Our study results show that, despite physical therapy training, weight-bearing compliance to recommended limits was low. Adherence to the partial weight-bearing task was further decreased over time. Uncontrolled weight-bearing recommendations should thus be viewed with caution and carefully considered as fiction. The presented insole is feasible to determine weight bearing continuously, could immediately help define real-time patient behaviour and establish realistic, individual weight-bearing recommendations.


Weight-bearing, Compliance, Pedobarography, Gait analysis

Institution / Department

Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital

Wir haben Dein Interesse geweckt?


Sei immer einen Schritt voraus!

Folge uns auf LinkedIn

Und abonniere unseren Newsletter, um die neuesten Informationen über Fallstudien, Produkt-Updates und Unternehmensnachrichten zu erhalten.

Select your desired system

The cutting edge test based outcome assessment system for health professionals and trainers

The most versatile toolkit for free data acquisition and comprehensive analytics in research

Have a general inquiry?

Write us a message for general questions about products and solutions or if you’d like to discuss other topics.

Wähle Deine Produktelinie

Mobile Ganganalysen und sportmotorische Tests für Trainer und Therapeuten – objektiv und effizient.

Das flexible System für freie Datenerfassung und fortgeschrittene Analysen in der Forschung.

Du möchtest eine Anfrage stellen?

Schreibe uns eine Nachricht zu allgemeinen Fragen über Produkte oder zu anwendungsbezogenen Themen, die Du besprechen möchtest.

Das Formular wurde erfolgreich gesendet.

Wir werden uns in Kürze mit dir in Verbindung setzen.


Immer einen Schritt voraus!

Abonniere unseren Newsletter für die neuesten Informationen zu Fallstudien, Webinaren, Produkt-Updates und Neuigkeiten bei Moticon

Hole dir Unterstützung

Finde Antworten zu den häufigsten Fragen in unseren FAQ

Beschreibe Dein Problem so detailliert wie möglich. Hänge Screenshots oder Daten an, sofern das hilfreich ist.

Need help?
Want a live demo?
Interested in prices?
Want to say hello?
Always just a call away
+49 89 2000 301 60
Du brauchst Unterstützung?
Du möchtest eine Live Demo?
Interessiert an Preisen?
Du hast Fragen?
Nur einen Anruf entfernt
+49 89 2000 301 60

The form was sent successfully.

You will be contacted shortly.

Get support

Check our FAQ database for answers to frequently asked questions

Describe your issue in as much detail as possible. Include screenshots or files if applicable.