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February 19, 2026Knee Surgery Sports Traumatology ArthroscopyOpen Access

Postoperative weightbearing timing after distal femur osteotomy is not associated with rates of union or complications: a systematic review and meta‐analysis

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Authors

NANicholas A. ApseloffTTTarik A. TaoufikCKChristopher C. Kaeding

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Overview

Systematic review shows no association between weightbearing timing and complication rates in individuals post distal femur osteotomy, indicating need for further research.

Key Points

  • This review aims to evaluate whether the timing of weightbearing after distal femur osteotomy affects complication rates and healing outcomes.
  • Conducted a systematic review and meta-analysis of published studies regarding weightbearing after distal femur osteotomy.
  • Included studies with at least one year of follow-up and assessed using MINORS criteria for methodologic quality.
  • Collected data on nonunion, delayed union, complications like knee stiffness and venous thromboembolism, and patient-reported outcome measures.
  • Reviewed 26 studies involving 814 patients; majority had moderate methodological quality.
  • Overall complication rates were low, with nonunion at 2.5% and delayed union at 0.6%.
  • No significant associations were found between early or delayed weightbearing and complication rates, underscoring the need for higher-quality studies.

Cite This Study

Apseloff et al. (2026) studied this question.

synapsesocial.com/papers/6996a788ecb39a600b3ed503https://doi.org/10.1002/ksa.70340
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of early compared with late weightbearing on the outcomes of subtalar joint arthrodesis2026 · 3 citations
  2. 2Ten‐year minimal follow‐up of lateral opening wedge distal femoral osteotomy for lateral femorotibial osteoarthritis: Good survivorship and high patient satisfaction2024 · 6 citations
  3. 3Early versus delayed weight-bearing after ORIF of isolated AO/OTA 44-B1 lateral malleolar fractures: a retrospective cohort study2026
  4. 459 Adherence to NICE Guidelines for Mobilization After Distal Femoral Fracture Surgery in Elderly Patients: Impact on Surgical Outcomes2024
  5. 5Immediate Weight-bearing for Distal Femur Fractures Fixed With a Lateral Locking Plate Is Associated With Decreased Short-term Complications Without Increased Failure Rates2025