October 9, 2015
SAN DIEGO — Treatment of unstable malleolar fractures with close contact casting showed equivalent outcomes to those of open reduction internal fixation among elderly patients, as well as a cost reduction, according to results of a multicenter study presented at the Orthopaedic Trauma Association Annual Meeting.
“Preferentially selecting a strategy of closed contact casting provided equivalent functional outcomes to open reduction internal fixation in all measures at 6 months with less resources used,” Keith Willett, FRCS, said. “A portion of patients with close contact casting will convert to surgery. It can be avoided in four out of five patients.”