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Lookup NU author(s): Dr Simon Jameson,
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AimsOur aim, using English Hospital Episode Statistics data before during and after the Distal Radius Acute Fracture Fixation Trial (DRAFFT), was to assess whether the results of the trial affected clinical practice.Patients and MethodsData were grouped into six month intervals from July 2005 to December 2014. All patient episodes in the National Health Service involving emergency surgery for an isolated distal radial fracture were included.ResultsClinical practice in England had not changed in the five years before DRAFFT: 75% of patients were treated with plate fixation versus 12% with Kirschner (K)-wires. After the publication of the trial, the proportion of patients having K-wire fixation rose to 42% with a concurrent fall in the proportion having fixation with a plate to 48%. The proportion of 'other' procedures stayed the same.Take home message. It appears that surgeons in the United Kingdom do change their practice in response to large, pragmatic, multicentre clinical trials in musculoskeletal trauma.
Author(s): Costa ML, Jameson SS, Reed MR
Publication type: Article
Publication status: Published
Journal: Bone and Joint Journal
Print publication date: 01/03/2016
Online publication date: 26/02/2016
Acceptance date: 12/11/2015
ISSN (print): 2049-4394
ISSN (electronic): 2049-4408
Publisher: The British Editorial Society of Bone & Joint Surgery
PubMed id: 26920968
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