Journal article

Non-surgical casting vs. surgical reduction for children with severely displaced distal radial fractures (the CRAFFT trial): a multicentre, randomised, controlled non-inferiority trial and economic evaluation

Abstract:: Background: Severely displaced distal radial fractures are among the most common and controversial injuries in children. Despite observational evidence of reliable remodelling with growth in younger children, their alarming radiographic appearance—particularly when completely displaced (off-ended)—has driven routine surgical reduction and fixation. The Children's Radius Acute Fracture Fixation Trial (CRAFFT) aimed to evaluate the clinical and cost-effectiveness of surgical...
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Publication status:: Published

Peer review status:: Peer reviewed

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APA Style

Perry, D. C., Zimmermann, A., Achten, J., Nicolaou, N., Metcalfe, D., Kounali, D., Lyttle, M. D., Frempong, S., Appelbe, D., Mason, J., Kandiyali, R., Gibson, P., & Costa, M. L. (2026). Non-surgical casting vs. surgical reduction for children with severely displaced distal radial fractures (the CRAFFT trial): a multicentre, randomised, controlled non-inferiority trial and economic evaluation. Lancet, 407, 1538–1548.

MLA Style

Perry, DC, et al. “Non-Surgical Casting vs. Surgical Reduction for Children with Severely Displaced Distal Radial Fractures (the CRAFFT Trial): a Multicentre, Randomised, Controlled Non-Inferiority Trial and Economic Evaluation.” Lancet, vol. 407, 2026, pp. 1538–48.

Chicago Style

Perry, DC, A Zimmermann, J Achten, et al. 2026. “Non-Surgical Casting vs. Surgical Reduction for Children with Severely Displaced Distal Radial Fractures (the CRAFFT Trial): a Multicentre, Randomised, Controlled Non-Inferiority Trial and Economic Evaluation.” Lancet 407: 1538–48.
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Files:: Perry_et_al_2026_Non-surgical_casting_versus.pdf

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Publisher copy:: 10.1016/S0140-6736(26)00409-5

Authors

+ Perry, DC More by this author

Institution:: University of Oxford
Division:: MSD
Department:: NDORMS
Role:: Author

+ Zimmermann, A More by this author

Institution:: University of Oxford
Division:: MSD
Department:: NDORMS
Role:: Author

+ Achten, J More by this author

Institution:: University of Oxford
Division:: MSD
Department:: NDORMS
Role:: Author

+ Nicolaou, N More by this author

Role:: Author

+ Metcalfe, D More by this author

Institution:: University of Oxford
Division:: MSD
Department:: NDORMS
Oxford college:: Green Templeton College
Role:: Author
ORCID:: 0000-0003-1008-3105

More authors...

Contributors

+ CRAFFT Study Investigators (TOTS Research Collaborative and the PERUKI Network)

Role:: Contributor

Publisher:: Elsevier
Journal:: Lancet More from this journal
Volume:: 407
Pages:: 1538-1548
Article number:: 10538
Publication date:: 2026-04-08
Acceptance date:: 2026-02-23
DOI:: 10.1016/S0140-6736(26)00409-5
EISSN:: 1474-547X
ISSN:: 0140-6736

Language:: English
Pubs id:: 2397237
Local pid:: pubs:2397237
Deposit date:: 2026-03-30
ARK identifier:: ark:/29072/ora_19678bd0d8164fbb9406f4943bb859a0

Terms of use

Copyright holder:: Perry et al.
Copyright date:: 2026
Rights statement:: Copyright © 2026 The Author(s). This is an open access article published under CC BY 4.0.

Licence:: CC Attribution (CC BY)

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