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Operative vs Nonoperative Management of Unstable Medial Malleolus Fractures: an RCT

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Ace Report Cover
April 2024

Operative vs Nonoperative Management of Unstable Medial Malleolus Fractures: an RCT

Vol: 306| Issue: 4| Number:16| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Operative vs Nonoperative Management of Unstable Medial Malleolus Fractures: A Randomized Clinical Trial.

JAMA Netw Open. 2024 Jan; 7(1): e2351308.

Contributing Authors:
TH Carter WM Oliver KR Bell C Graham AD Duckworth TO White

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Synopsis

154 adult patients with closed, unstable bimalleolar or trimalleolar ankle fractures requiring surgery were randomized in a prospective clinical trial. The patients were allocated to either internal fixation (n=78) or nonfixation (n=76) of the well-reduced medial malleolus fracture after fibular stabilization. The primary outcome was the Olerud-Molander Ankle Score (OMAS), a functional score cover...

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