Immediate Weightbearing vs Delayed Weightbearing

The number of participants with unplanned reoperation or hardware failure

The purpose of this study is to perform a feasibility trial of immediate versus delayed
 weight bearing following fixation of fractures of the lower extremity, pelvis, and
 acetabulum. The investigator will enroll patients from Shock Trauma over a period of 12
 months, and randomize them to immediate weight bearing as tolerated (WBAT) versus delayed
 WBAT (non-weightbearing for 6-12 weeks). Four specific feasibility criteria will be assessed:
 enrollment (target 50%), follow-up (target 90% at 3 months), correct documentation of weight
 bearing (target 90%), correct documentation of primary outcomes, which include reoperation
 and hardware failure (target 90%). Target enrollment is patients with fractures where the
 current standard of care is delayed WBAT; for lower extremity this will include fractures of
 the distal femur, proximal tibia, and distal tibia, including select fractures with
 intra-articular extension. If feasibility criteria are met over the course of this study, the
 investigator hopes to move forward with a multicenter randomized controlled trial on this
 topic.