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Close contact casting vs surgery for initial treatment of unstable ankle fractures in older adults: a randomized clinical trial

Abstract:

Ankle fractures cause substantial morbidity in older persons. Surgical fixation is the contemporary intervention but is associated with infection and other healing complications.To determine whether initial fracture treatment with close contact casting, a molded below-knee cast with minimal padding, offers outcome equivalent to that with immediate surgery, with fewer complications and less health resource use.This was a pragmatic, equivalence, randomized clinical trial with blinded outcome as...

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Publication status:
Published
Peer review status:
Peer reviewed
Version:
Publisher's version

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Publisher copy:
10.1001/jama.2016.14719

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Department:
Oxford, MSD, NDORMS
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Department:
Oxford, MSD, NDORMS
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Grant:
Health Technology Assessment program (project 07/37/61); NIHR Oxford Biomedical Research Unit funding scheme (Keene and Lamb
Publisher:
American Medical Association Publisher's website
Journal:
JAMA Journal website
Volume:
316
Issue:
14
Pages:
1455-1463
Publication date:
2016-10-05
Acceptance date:
2016-09-12
DOI:
EISSN:
1538-3598
ISSN:
0098-7484
Pubs id:
pubs:652131
URN:
uri:146535d0-f38c-440f-8576-6a72d343798d
UUID:
uuid:146535d0-f38c-440f-8576-6a72d343798d
Local pid:
pubs:652131

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