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The Journal of Bone & Joint Surgery British Volume
Vol. 83-B, Issue 7 | Pages 1085 - 1086
1 Sep 2001
MAKWANA NK BHOWAL B HARPER WM HUI AW


The Journal of Bone & Joint Surgery British Volume
Vol. 83-B, Issue 7 | Pages 1086 - 1086
1 Sep 2001
MAKWANA NK BHOWAL B HARPER WM HUI AW


The Journal of Bone & Joint Surgery British Volume
Vol. 83-B, Issue 7 | Pages 1085 - 1085
1 Sep 2001
MAKWANA NK BHOWAL B HARPER WM HUI AW


The Journal of Bone & Joint Surgery British Volume
Vol. 83-B, Issue 4 | Pages 525 - 529
1 May 2001
Makwana NK Bhowal B Harper WM Hui AW

Forty-seven patients over the age of 55 years with a displaced fracture of the ankle were entered into a prospective, randomised study in order to compare open reduction and internal fixation with closed treatment in a plaster cast; 36 were reviewed after a mean of 27 months. The outcome was assessed clinically, radiologically and functionally using the Olerud score.

The results showed that anatomical reduction was significantly less reliable (p = 0.03) and loss of reduction significantly more common (p = 0.001) in the group with closed treatment. Those managed by open reduction and internal fixation had a significantly higher functional outcome score (p = 0.03) and a significantly better range of movement of the ankle (p = 0.044) at review.