Tibial plateau fracture: Faster rehabilitation and more compliance with stappone
After a tibial plateau fracture, mobilization with partial weight-bearing is a common prescription for rehabilitation. The patient’s compliance (adherence to therapy) is a decisive factor for effective rehabilitation. However, compliance is a particular problem when it comes to partial weight-bearing. With stappone, this will change significantly.
Tibial plateau fractures are one of the classic injuries in sports accidents. However, they also occur in older people with osteoporosis. A tibial fracture in the knee joint can be very complex and often requires surgical treatment.
Already on the first day after surgery, special attention is paid to the activation of the patients. This includes “postoperative gait load management with adequate aids”¹. Adherence to partial weight-bearing is crucial for fracture healing.
Problems with partial weight-bearing
Rehabilitation with partial weight bearing is an effective treatment concept, especially for tibial plateau fractures. Unfortunately, it has its limitations and problems, which means that its full potential cannot usually be achieved:²
- Subjective evaluation by patient
- No objective, continuous control for treating a patient
- Low patient compliance due to lack of control possibilities
- Partial weight cannot be maintained exactly
- Common method with personal scales has low compliance and only static evaluation
stappone has worked on these problems and with STAPPONE Rehab and STAPPONE Physio a comprehensive solution has been created.
Correctly maintain load limits
STAPPONE Rehab and STAPPONE Physio consist of the intelligent stappone sensor soles and the corresponding app on a smartphone or iPhone or the corresponding software on a terminal device (PC, laptop, tablet). The soles are simply inserted into comfortable shoes (e.g. sports shoes) and measure the patient’s foot pressure load. The prescribed load limit can be set in the app and provides acoustic, haptic, and visual feedback in case of overload or underload during static and dynamic exercises as well as in everyday life movements.
This has the following benefits:
- Control for patient and treating person regarding the load limits.
- Objective evaluation and correct pressure load – static and dynamic
- Higher compliance and patient motivation
- Objective progress control
In one case³ a male patient with a tibial plateau fracture, surgery and prescribed partial weight-bearing was mobilized with STAPPONE Rehab. This showed the following: “In the area of load specifications and their adherence, sensor technology plays a decisive role, and a feedback system is a supportive tool objectively from the side of the treating person and subjectively from the point of view of the affected person. This needs to be integrated into the treatment. “4
The control function of STAPPONE Rehab increases the patient’s compliance. This has not only a positive effect on motivation but also on the healing process, which can be accelerated by up to 25%.
STAPPONE Physio also provides objective data on foot pressure load and other movement-relevant parameters such as stride length, cadence, and the body’s centre of gravity. With the help of ambulatory measurements and the reports of STAPPONE Rehab, doctors and therapists have the possibility of an objective progress control. This in turn creates more understanding and trust on the part of the patient.
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¹ Oratsch, Christoph Andreas. „Reha nach Tibiakopffrakturen“.
² Oratsch, Christoph Andreas. „Reha nach Tibiakopffrakturen“.
³ Oratsch, Christoph Andreas. „Reha nach Tibiakopffrakturen“.
4 Oratsch, Christoph Andreas. „Reha nach Tibiakopffrakturen“.