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Citation: Citation:
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Research Question: Research Question:
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Funding: Funding:
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Year Study Began: Year Study Began:
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Year Study Published: Year Study Published:
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Study Location: Study Location:
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Who Was Studied: Who Was Studied:
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Who Was Excluded: Who Was Excluded:
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How Many Patients: How Many Patients:
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Study Overview: Study Overview:
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Study Intervention: Study Intervention:
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Follow-Up: Follow-Up:
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Endpoints: Endpoints:
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Criticisms and Limitations: Criticisms and Limitations:
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Other Relevant Studies and Information: Other Relevant Studies and Information:
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Summary and Implications: Summary and Implications:
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13 Close Contact Casting versus Surgery for Initial Treatment of Unstable Ankle Fractures in Older Adults
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Published:May 2024
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Abstract
A multicenter randomized controlled study designed to compare outcomes of operative fixation vs. close contact casting in the management of unstable ankle fractures in patients over the age of 60 years; 620 patients were randomly assigned to either treatment modality. The primary outcome was ankle function using the Olerud-Molander Ankle Score, which was equivalent at 6 months (66 for surgery vs. 64.5 for casting; p = 0.75). Quality of life, pain, and range of motion assessments were similarly comparable. A lower rate of perioperative complications and reduced overall theater time were observed in the casting group. Casting was associated with an increased rate of asymptomatic radiographic nonunion and malunion.
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