Comparative study of functional bracing and plaster cast treatment of stable lateral malleolar fractures

Stuart, Paul; Brumby, Catherine; Smith, Steven R.

doi:10.1016/0020-1383(89)90003-x

Cited by 45 publications

(26 citation statements)

References 5 publications

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“…Deitrich et al 5 compared non-operative with operative management of isolated Weber B fractures and reported an excellent result according to the Olerud-Molander ankle score of 100 in 85% of patients treated with pneumatic cast brace and a maximum score of 95 in 64% of operated patients. Stuart et al 13 reported 84% clinical union at 6 weeks with functional bracing and significantly better patient comfort at 24 h with a pneumatic brace as compared to a plaster cast. We achieved similar results with 80.3% clinical union at the end of 4 weeks.…”

Section: Discussionmentioning

confidence: 99%

Clinical Audit of the Management of Stable Ankle Fractures

Jain

Symes

Doorgakant

et al. 2008

annals

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Ann R Coll Surg Engl 2008; 90: 483-487 483Ankle fractures form a significant part of orthopaedic practice. In a recent population-based epidemiological study, 1 ankle fractures were found to be the most common type of lower extremity fracture, making up to 22.6% of all lower limb fractures. Of these, 'stable' ankle fractures form a separate clinical group comprising 40-75% of all ankle fractures. 2,3 Several studies have shown that these fractures can be managed in a functional brace or Tubigrip, [4][5][6] without the need to repeat radiographs, 7 and produce an insignificant rate of long-term osteoarthritis. 8Despite this evidence there remains a lack of effective guidelines for the management of these fractures resulting in unnecessary cost due to repeat radiographs and outpatient visits. 7,9 The aim of this audit was to assess the current management of stable ankle fractures at the Cumberland Infirmary and measure the change in practice after implementation of evidence-based guidelines. 4 We also calculated the cost of management of these fractures before and after the change in practice and financial savings that can be expected. Studies show that these injuries can be managed successfully in a functional brace, with no need for further radiographs and minimal out-patient follow-up. We aimed to audit current practice and introduce change in order to improve treatment and produce financial savings.

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Section: Discussionmentioning

confidence: 99%

Clinical Audit of the Management of Stable Ankle Fractures

Jain

Symes

Doorgakant

et al. 2008

annals

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“…Undisplaced isolated lateral malleolar fractures with no medial tenderness to signify a medial ligamentous injury are likely to be stable injuries. They can be treated with excellent results using functional bracing and early mobilization, which has also been shown to be more cost-effective (5)(6)(7)(8)(9)(10)(11).…”

mentioning

confidence: 98%

Weightbearing Radiographs Facilitate Functional Treatment of Ankle Fractures of Uncertain Stability

Hastie

Akhtar

Butt

et al. 2015

The Journal of Foot and Ankle Surgery

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“…8 Studies have since demonstrated the effective treatment of stable tibial and ankle fractures by functional bracing or pneumatic aircast bracing. 1,3,9,10,11 We present a case whereby a patient developed extensive foot and ankle tissue necrosis, resulting in below knee amputation, following prolonged application of a pneumatic aircast walker (PACW).…”

Section: Introductionmentioning

confidence: 99%