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The favored treatment for presumed simple GT fractures is most often non-surgical, and early mobilization is allowed because the major weight-bearing portion of the femur is intact [ 1].
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Active and passive knee mobilization was allowed immediately on the first postoperative day.
Mobilization was allowed the day after, and after 20 days, the patient was allowed to sit upright.
Normal weight bearing mobilization was allowed at the child's tolerance, when a plantigrade foot was achieved.
The backslab was transformed to a below-the-knee jigsaw cast 3 4 days post reduction as long as the swelling had subsided and non-weight-bearing (NWB) mobilization was allowed.
After 12 weeks, full weightbearing mobilization was allowed.
Full weight-bearing and free mobilization was allowed postoperatively.
Mobilization was allowed on the same evening as the day of operation.
Postoperatively, the shoulder was immobilized in a sling for 2 7 days followed by active movement up to 90° abduction and free flexion and retroversion for 4 weeks after surgery; then free, active mobilization was allowed.
Our interpretation is that the more rapid recovery of patient-perceived and objective wrist function in patients treated with volar locked plating, compared to external fixation, found by us and by the other authors mentioned above, is due to the earlier active wrist mobilization postoperatively that is allowed by the volar locked plating technique.
Free, active mobilization will be allowed at 6 weeks.
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