![]() ![]() The removable ankle brace is more effective than the cast with respect to recovery of physical function, is associated with a faster return to baseline activities, is superior with respect to patient preferences, and is also cost-effective. The cost-effectiveness acceptability curve was always >80% therefore, the brace was cost-effective compared with the cast.ĬONCLUSIONS. ![]() Fifty-four percent of the casted children would have preferred the brace, but only 5.7% of children who received the brace would have preferred the cast. Significantly more children who were treated with a brace had returned to baseline activities by 4 weeks compared with those who were casted (80.8% vs 59.5%). Fractures usually occur in the lateral malleolus or the fifth metatarsal bone, and sometimes in the medial malleolus or navicular bone. The mean activity score at 4 weeks was 91.3% in the brace group ( n = 54), and this was significantly higher than the mean of 85.3% in the cast group ( n = 50). Additional outcomes included patient preferences and costs. The primary outcome at 4 weeks was physical function, measured by using the modified Activities Scale for Kids. This was a noninferiority, randomized, single-blind trial in which children who were 5 to 18 years of age and treated in a pediatric emergency department for low-risk ankle fractures were randomly assigned to a removable ankle brace or a below-knee walking cast. Therefore, the main objective of this study was to determine whether children who have these low-risk ankle fractures that are treated with a removable ankle brace have at least as effective a recovery of physical function as those that are treated with a cast. Fractures of the lateral malleolus with a posteromedial fracture can be classified as AO/OTA type 44A3. rim and medial malleolus can be classified as AO/OTA type 44B2.3, 44B3.3, 44C1.3 and C2.3. Nevertheless, standard therapy for these fractures still consists of casting, a practice that carries risks, inconveniences, and use of subspecialty health care resources. Patients with a trimalleolar ankle fracture treated between 20 with preoperative radiographs and CT images were included. Isolated distal fibular ankle fractures in children are very common and at very low risk for future complications. ![]()
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