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Use of cast immobilization versus removable brace in adults with an ankle fracture: two-year follow-up of a multicentre randomized controlled trial.
Haque, Aminul; Parsons, Helen; Parsons, Nick; Costa, Matthew L; Redmond, Anthony C; Mason, James; Nwankwo, Henry; Kearney, Rebecca S.
Afiliación
  • Haque A; Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.
  • Parsons H; Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.
  • Parsons N; Warwick Medical School, University of Warwick, Coventry, UK.
  • Costa ML; Oxford Trauma and Emergency Care, Nuffield Department of Rheumatology, Musculoskeletal and Orthopaedic Sciences, University of Oxford, Oxford, UK.
  • Redmond AC; Leeds Institute for Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
  • Mason J; Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.
  • Nwankwo H; Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.
  • Kearney RS; Bristol Trials Centre, University of Bristol, Bristol, UK.
Bone Joint J ; 105-B(4): 382-388, 2023 03 15.
Article en En | MEDLINE | ID: mdl-36924175
ABSTRACT
The aim of this study was to compare the longer-term outcomes of operatively and nonoperatively managed patients treated with a removable brace (fixed-angle removable orthosis) or a plaster cast immobilization for an acute ankle fracture. This is a secondary analysis of a multicentre randomized controlled trial comparing adults with an acute ankle fracture, initially managed either by operative or nonoperative care. Patients were randomly allocated to receive either a cast immobilization or a fixed-angle removable orthosis (removable brace). Data were collected on baseline characteristics, ankle function, quality of life, and complications. The Olerud-Molander Ankle Score (OMAS) was the primary outcome which was used to measure the participant's ankle function. The primary endpoint was at 16 weeks, with longer-term follow-up at 24 weeks and two years. Overall, 436 patients (65%) completed the final two-year follow-up. The mean difference in OMAS at two years was -0.3 points favouring the plaster cast (95% confidence interval -3.9 to 3.4), indicating no statistically significant difference between the interventions. There was no evidence of differences in patient quality of life (measured using the EuroQol five-dimension five-level questionnaire) or Disability Rating Index. This study demonstrated that patients treated with a removable brace had similar outcomes to those treated with a plaster cast in the first two years after injury. A removable brace is an effective alternative to traditional immobilization in a plaster cast for patients with an ankle fracture.
Asunto(s)

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Fracturas de Tobillo Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Idioma: En Revista: Bone Joint J Año: 2023 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Fracturas de Tobillo Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Idioma: En Revista: Bone Joint J Año: 2023 Tipo del documento: Article