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PICO
Question: Among children with stable forearm fractures, how does use of a semi-rigid fiberglass cast that can be removed at home compare to use of a conventional cast that is removed in the clinic, with regard to functional outcome, cost, and user satisfaction?
Question type: Intervention
Study design: Noninferiority randomized trial
Investigators from the University of Oxford in the United Kingdom sought to determine if a semi-rigid fiberglass cast (flexible cast) that could be removed by parents at home would be as clinically effective, cost-efficient, and acceptable to the patient and parent as management using a conventional nonflexible fiberglass cast that is removed at a clinic. Children (aged 2–16 years) with stable distal forearm fractures (torus fractures and greenstick fractures <15° angulated in the sagittal plane and Salter-Harris I and …
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