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Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g4483 (Published 24 July 2014) Cite this as: BMJ 2014;349:g4483

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Dear Editor,

We read with interest the article “Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial”. (1)

We congratulate the authors on a well-designed RCT that avoids the pit falls of previous RCTs in calcaneal fracture management.

However, your front page of the 2 August 2014 BMJ paper version is misleading. It boldly says, “Calcaneal fractures: surgery provides no benefits”. The authors have clearly mentioned the exceptions to their conclusion which the front page does not convey. The authors have excluded extra-articular fractures, open fractures and “grossly displaced fractures”, the latter two of which, presumably were all treated surgically.

References

1. Griffin D, Parsons N, Shaw E, Kulikov Y, Hutchinson C, Thorogood M, et al. Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial. BMJ2014;349:g4483.

Competing interests: No competing interests

12 August 2014
Graham C Cheung
Consultant Orthopaedic Surgeon
Gunasekaran Kumar
Royal Liverpool University Hospital
Prescot Street