Topic: Musculoskeletal disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 16 years or over 2. Ankle fracture for which the treating clinician would consider plaster cast a reasonable management option
Exclusion criteria
Exclusion criteria: 1. Lack of capacity to consent 2. Unable to walk prior to injury 3. Previous ankle fracture randomisation in the present trial 4. Open fracture 5. Pathological fractures, i.e. known metastatic disease 6. Evidence that the patient would be unable to adhere to trial procedures or complete postal questionnaires 7. Any other lower limb injury (including bilateral ankle fractures and syndesmosis injury requiring surgery, contraindication to cast application) that will affect the primary outcome measure 8. In the opinion of the surgeon the patient would require Close Contact Casting
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health outcomes are determined using the Manchester–Oxford Foot Questionnaire (MOxFQ) at baseline and 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Complications are recorded using Complications CRF (created in house, not a validated questionnaire) at baseline, post-treatment, 6 weeks, 3 months and 6 months 2. Health outcomes measured using the EQ-5D questionnaire, the Manchester–Oxford Foot Questionnaire (MOXFQ) and the Olerud-Molander Ankle Score (OMAS) at baseline, post-treatment, 6 weeks, 3 months and 6 months 3. Healing is determined by viewing copies of routine pre- and post-operative x-rays taken at baseline, 6 weeks and 6 months | — |
Countries
United Kingdom