About this trial
The purpose of this study is to determine whether patients with operatively treated acetabular fractures benefit from early weight-bearing as tolerated. The study compares two groups ( n = 25 each), which are randomised into either weight-bearing as tolerated or touch-down weight-bearing for 6-8 weeks postoperatively.
Both study groups are stratified according to
* Type of fracture (anterior approach vs anterior + additional posterior approach) * Dislocated dome vs non-dislocated/ non existing separate dome fragment
Patients, who are eligible to participate in the trial but choose not to participate in randomisation are asked to enrol in a prospective cohort follow-up cohort. This is to examine a potential participation bias in the RCT groups. These patients will not be counted into the target amount of 50 RCT patients.
Eligibility criteria
Qualifiers
Unilateral dislocated acetabulum fracture (displacement of over 2mm in preoperative CT scan)
The osteosynthesis is performed during 21 days after initial trauma
The patient is willing to participate in the follow-up
Disqualifiers
Unwillingness to participate in randomisation
Bilateral fracture
Letournel & Judet type Both column or Posterior column and wall fractures
Any other injury that prevents the patient from partial weight bearing
Trial design
Treatments tested in this trial
- Open reduction and internal fixation (ORIF)