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Related Experiment Video

Updated: Sep 18, 2025

Lower Limb Biomechanical Analysis of Healthy Participants
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Lower Limb Biomechanical Analysis of Healthy Participants

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Weight-Bearing Monitoring Devices in Lower Extremity Fractures: A Scoping Review.

Jackson Robinson1, Alice Wei Ting Wang1, David J Stockton1

  • 1Department of Orthopaedics, The University of British Columbia Faculty of Medicine, Vancouver, BC, Canada.

Orthopedic Research and Reviews
|June 26, 2025
PubMed
Summary

This review identifies non-invasive devices for measuring weight-bearing after lower extremity fractures. Different monitors offer varied measurements, crucial for optimizing patient recovery and functional outcomes.

Keywords:
fracturelower extremitymonitoringtraumaweight-bearing

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Area of Science:

  • Orthopaedic Surgery
  • Biomedical Engineering
  • Rehabilitation Science

Background:

  • Weight-bearing parameters are crucial for healing and functional recovery after lower extremity fractures.
  • Current adherence to prescribed weight-bearing protocols remains unclear.
  • Optimizing weight-bearing progression is essential for maximizing patient outcomes.

Purpose of the Study:

  • To identify and compare non-invasive devices for measuring weight-bearing in patients with lower extremity fractures.
  • To provide an overview of available technologies for monitoring weight-bearing status.
  • To inform clinical practice and future research in fracture rehabilitation.

Main Methods:

  • A comprehensive scoping review of relevant literature was conducted.
  • Searches were performed in MEDLINE, EMBASE, and CENTRAL databases.
  • Studies involving external force, pedal pressure, or activity monitoring devices were included, excluding compartment pressure measurements.

Main Results:

  • Sixty-two studies met the inclusion criteria for the review.
  • Insole-type devices were used in 39% of studies, integrated into shoes or boots.
  • Other prevalent devices included activity monitors (52%), force plates (18%), and pedobarography systems (27%).

Conclusions:

  • Various non-invasive devices exist for measuring weight-bearing, each with unique applications.
  • Device selection should be based on the specific metric of interest for accurate assessment.
  • Further high-quality prospective studies are needed to validate the benefits of early weight-bearing in fracture recovery.