Modified Cast Instead of Surgery Results in Similar Functional Outcomes for Ankle Fracture in Older Adults
Fri 14th Oct 2016
PI: Mark Brinsden; RN/P Claire West, Rosalyn Squire from Derriford Hospital, Plymouth were collaberators in the AIM study which has now reported the results in the Journal of the American Medical Association (JAMA).
- “The results reported by Willett et al demonstrate that most unstable ankle fractures in older patients can be treated with a cast without the need for surgery,” writes David W. Sanders, M.D., M.Sc., F.R.C.S.C., of Western University, London, Ontario, Canada, in an accompanying editorial.
“However, many patients who were initially treated by casting subsequently required repeat casting or surgery. Further studies are needed to help identify which patients will not benefit from casting. Although close contact casting may be unfamiliar to some orthopedic surgeons, it can avoid surgery for older patients with ankle fractures, yet result in equivalent functional outcomes. This technique is worth considering when treating this challenging clinical problem.”