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Six-month function equivalent between casting & surgery for unstable ankle fracture

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Ace Report Cover
February 2017

Six-month function equivalent between casting & surgery for unstable ankle fracture

Vol: 6| Issue: 2| Number:29| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

Close Contact Casting vs Surgery for Initial Treatment of Unstable Ankle Fractures in Older Adults: A Randomized Clinical Trial

JAMA. 2016 Oct 11;316(14):1455-1463

Contributing Authors:
K Willett DJ Keene D2 Mistry J Nam E Tutton R Handley L Morgan E Roberts A Briggs R Lall TJ Chesser I Pallister SE Lamb Ankle Injury Management (AIM) Trial Collaborators

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Synopsis

620 patients with an unstable ankle fracture were randomized to treatment with either close contact casting or internal fixation. The purpose of this study was to determine if functional outcome within the first 6 months after casting was equivalent to internal fixation. Secondary clinical and functional outcomes, radiographic nonunion and malunion, and complication rate were also assessed. Result...

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