AIR trial (cast vs brace for ankle fracture)BMJ (Clinical research ed.) 2021
Use of cast immobilisation versus removable brace in adults with an ankle fracture: multicentre randomised controlled trial.
Plaster casting was not superior to a removable brace: ankle function at 16 weeks did not differ significantly between groups, and secondary analyses were consistent.
Randomised trialManagementFracture clinic & non-operative care
Early weight bearing after ankle ORIFJournal of orthopaedic trauma 2016
Early Weightbearing and Range of Motion Versus Non-Weightbearing and Immobilization After Open Reduction and Internal Fixation of Unstable Ankle Fractures: A Randomized Controlled Trial.
Return to work did not differ between groups, but early weight bearing gave better ankle range of motion and early functional outcome at 6 weeks, without an increase in complications.
Randomised trialManagementFracture clinic & non-operative care
Glasgow virtual fracture clinicBMJ open 2014
Effect of a redesigned fracture management pathway and 'virtual' fracture clinic on ED performance.
The redesigned pathway, with leaflet-supported direct discharge of minor stable injuries, did not increase unplanned ED reattendance, shortened consultations where backslabs were replaced by removable splints, and reduced unnecessary face-to-face fracture clinic review.
Cohort studyManagementFracture clinic & non-operative care
Plint removable splint vs castPediatrics 2006
A randomized, controlled trial of removable splinting versus casting for wrist buckle fractures in children.
Splinted children had better physical function at 2 weeks and less difficulty with daily activities such as bathing than those in casts, with similar pain and no refractures in either group.
Randomised trialManagementFracture clinic & non-operative care
Jones fracture screw vs castThe American journal of sports medicine 2005
Early screw fixation versus casting in the treatment of acute Jones fractures.
Screw fixation gave substantially shorter times to union and return to sport, while casting had a high failure rate from non-union, delayed union and refracture.
Randomised trialManagementFracture clinic & non-operative care