The goal of this randomized clinical trial is to compare between the effect of immediate weight bearing (WB) versus delayed weight bearing in improving function, pain, gait, quality of reduction radiologically, muscle strength, and quality of life outcomes in individuals who underwent specific pelvic fixation surgeries.
Age ≥ 18 to 55 years
Traumatic fractures indicated for pelvic fixation.
All Types B after stable anterior and / or posterior fixation.
Associated lower extremity fractures that independently restrict or contraindicate weight-bearing activities.
Bilateral unstable after fixation pelvic ring disruption.
Patients with associated spinal cord injury, as neurological deficits may alter gait, functional recovery, and weight-bearing capacity, thereby affecting the validity and generalizability of the outcome measures.
Current history of acute systemic infection, active Bone inflammatory disease, (e.g., osteomyelitis, chronic non-bacterial osteitis), or malignancy, which may compromise the healing process, confound clinical outcomes, or pose additional medical risks during rehabilitation.
Parallel
Immediate Partial Weight Bearing
Other interventionImmediate Partial Weight Bearing
Functional status
Functional status will be evaluated with the Majeed Pelvic Score
core and hip muscle strength
core and hip muscle strength, trunk (flexors, extensors and lateral flexors) and hip (extensors and abductors) using VALD handheld dynamometer
Pain level
Pain rating using numerical pain rating scale (NPRS)
Gait
Gait by (Functional Gait Assessment)
Radiological outcome
Radiological outcome, loss of reduction, by x-ray
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