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Therapeutics/Prevention
Randomised controlled trial
Calcaneal fractures have universally poor outcomes regardless of management
Free
  1. Tun Hing Lui,
  2. Samuel Ka Kin Ling
  1. Department of Orthopaedics and Traumatology, North District Hospital, 999077, Hong Kong
  1. Correspondence to: Dr Tun Hing Lui, Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, Hong Kong, Hong Kong; luithderek{at}yahoo.co.uk

https://doi.org/10.1136/ebmed-2014-110088

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    Commentary on: Griffin D, Parsons N, Shaw E, et al. Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial. BMJ 2014;349:g4483.OpenUrlAbstract/FREE Full Text

    Context

    Calcaneal fractures have a significant socioeconomic impact, because they usually occur in working-age individuals after a relatively high-energy trauma. As stated in this study, these fractures are notoriously difficult to manage and the orthopaedic community continues to debate between conservative and operative management.1 Several systematic reviews have been performed, but none have presented overwhelming advice on which is the superior option.2

    Method

    This is a multicentre, allocation concealed, randomised controlled trial comparing conservative and operative management of closed displaced intra-articular calcaneal fractures. In the operative arm, the standard extensile lateral …

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