Among older adults who sustain an unstable ankle fracture, functional outcomes after surgical fixation or traditional plaster casting are often unsatisfactory. In a randomized trial involving 620 adults aged 60 years or older with an acute, unstable ankle fracture, Willett and colleagues compared patient outcomes after close contact casting—a molded below-knee cast with minimal padding—with outcomes after immediate surgical fixation. The authors report that compared with surgery, close contact casting resulted in similar functional outcomes at 6 months. In an Editorial, Sanders discusses outcomes of close contact casting vs surgery for unstable ankle fractures.
Highlights. JAMA. 2016;316(14):1425-1427. doi:10.1001/jama.2015.14523