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Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial

BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.k5432 (Published 23 January 2019) Cite this as: BMJ 2019;364:k5432

Re: Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial

Dear Editor,

We have read and discussed the non-inferiority trial entitled "Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial" by Kortekangas et al published in the BMJ (2019;364:k5432) with great interest in our weekly Orthopaedic journal club. I want to congratulate the authors on a well written and concise clinical trial, and would like to make some contributions.

Out of the 560 unimalleolar Webber B fracture screened for inclusion, we note that more than 50% were excluded from the trial primarily because they were deemed to be unstable fractures (217). We wonder whether the authors also recorded what happened to these cases that were excluded as we feel this would be of interest to the wider Orthopaedic profession.

We look forward to hearing your response.

Kind regards
Dr Vincent Simpson

Competing interests: No competing interests

16 February 2019
Vincent E Simpson
Trust Trauma and Orthopaedic CT1
Mr Richard Cove
North Devon District Hospital
Raleigh Park, Barnstaple, EX31 4JB