Achten, Juul, Appelbe, Duncan, Spoors, Louise, Peckham, Nicholas, Kandiyali, Rebecca, Mason, James, Ferguson, David, Wright, James, Wilson, Nicola, Preston, Jennifer 
ORCID: 0000-0003-4800-234X et al (show 3 more authors)
(2024)
Protocol for Surgery or Cast of the EpicoNdyle in Children's Elbows (SCIENCE).
Bone & joint open, 5 (1).
pp. 69-77.
Abstract
<h4>Aims</h4>The management of fractures of the medial epicondyle is one of the greatest controversies in paediatric fracture care, with uncertainty concerning the need for surgery. The British Society of Children's Orthopaedic Surgery prioritized this as their most important research question in paediatric trauma. This is the protocol for a randomized controlled, multicentre, prospective superiority trial of operative fixation versus nonoperative treatment for displaced medial epicondyle fractures: the Surgery or Cast of the EpicoNdyle in Children's Elbows (SCIENCE) trial.<h4>Methods</h4>Children aged seven to 15 years old inclusive, who have sustained a displaced fracture of the medial epicondyle, are eligible to take part. Baseline function using the Patient-Reported Outcomes Measurement Information System (PROMIS) upper limb score, pain measured using the Wong Baker FACES pain scale, and quality of life (QoL) assessed with the EuroQol five-dimension questionnaire for younger patients (EQ-5D-Y) will be collected. Each patient will be randomly allocated (1:1, stratified using a minimization algorithm by centre and initial elbow dislocation status (i.e. dislocated or not-dislocated at presentation to the emergency department)) to either a regimen of the operative fixation or non-surgical treatment.<h4>Outcomes</h4>At six weeks, and three, six, and 12 months, data on function, pain, sports/music participation, QoL, immobilization, and analgesia will be collected. These will also be repeated annually until the child reaches the age of 16 years. Four weeks after injury, the main outcomes plus data on complications, resource use, and school absence will be collected. The primary outcome is the PROMIS upper limb score at 12 months post-randomization. All data will be obtained through electronic questionnaires completed by the participants and/or parents/guardians. The NHS number of participants will be stored to enable future data linkage to sources of routinely collected data (i.e. Hospital Episode Statistics).
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Clinical Research, Pain Research, Physical Injury - Accidents and Adverse Effects, Clinical Trials and Supportive Activities, Patient Safety, 6.4 Surgery, 6 Evaluation of treatments and therapeutic interventions, Musculoskeletal, Injuries and accidents, 3 Good Health and Well Being |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 09 Feb 2024 09:25 |
| Last Modified: | 14 Mar 2024 22:21 |
| DOI: | 10.1302/2633-1462.51.bjo-2023-0127.r1 |
| Open Access URL: | https://doi.org/10.1302/2633-1462.51.BJO-2023-0127... |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3178574 |
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