Close contact casting may result in similar outcomes compared with plate fixation for unstable ankle fractures in patients over 60 years old

This study compared outcomes among older adults with ankle fractures who received ORIF versus close contact casting. Methods This study was prospective, powered and randomised to determine the outcomes at 6 months of adults aged 60 years or older using the Olerund-Molander Ankle Score (OMAS). Patients were randomised to casting or surgery (ORIF) in a 1:1 ratio. The surgeons were trained in the casting technique before the study. If casting failed and the patient underwent ORIF, the patient...
Source: Evidence-Based Medicine - Category: Internal Medicine Authors: Tags: Therapeutics/Prevention Source Type: research