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. 2023 Nov 7;2023(11):CD008628. doi: 10.1002/14651858.CD008628.pub3

Pandey 2018.

Study characteristics
Methods RCT, parallel design, 2‐armed trial
Participants Total number of randomised participants: 44
Source population: single centre, Nepal
Inclusion criteria: not reported. The authors state that "Patients presenting with calcaneal fracture were screened for eligibility by clinico radiological evaluation".
Exclusion criteria: not reported
Baseline characteristics for surgical group
  • Age, mean (SD): 41.1 (± 13.7) years

  • Sex (M/F): not reported

  • Bilateral fracture: not reported

  • Type of fracture (joint depression/tongue type/comminuted): 15/5/2


Baseline characteristics for non‐surgical group
  • Age, mean (SD): 40.1 (± 10.8) years

  • Sex (M/F): not reported

  • Bilateral fracture: not reported

  • Type of fracture (joint depression/tongue type/comminuted): 12/6/2

Interventions Surgical group
  • Number randomised: 22

  • Losses (with reasons): 0

  • Number analysed: 22

  • Treatment description: closed reduction and percutaneous screw fixation (MIS)


Non‐surgical group
  • Number randomised: 22

  • Losses (with reasons): 2 (lost to follow‐up)

  • Number analysed: 20

  • Treatment description: below‐knee cast, no information on rehabilitation

Outcomes Timing of assessments: 2 weeks (operative group only), 8 weeks, 3 months and 6 months
Outcomes reported in review: AOFAS, VAS pain and function score, Böhler's angle, complications
Other outcomes: calcaneal height and width, bone union
Notes Study dates: March 2014 to May 2015
Funding sources: not reported
Declarations of interest: not reported
Notes: no data presented for functional scores at baseline. No information about ethical approval, and journal is not indexed in the main biomedical databases. Study authors were contacted for more information, but no reply was received.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "patients were randomized into two groups [...] using computer generated random number selection."
Allocation concealment (selection bias) Unclear risk No details provided on who generated numbers or who had access.
Blinding of participants and personnel (performance bias)
All outcomes High risk Due to nature of intervention, treating surgeons and participants were not blinded
Blinding of outcome assessment (detection bias)
All outcomes High risk No information given on outcome data collection, or who conducted clinical assessments or undertook interpretation of x‐rays. We therefore judged that no blinding took place
Incomplete outcome data (attrition bias)
All outcomes Low risk 42/44 (95%) followed up for 6 months.
Selective reporting (reporting bias) Unclear risk No protocol or clinical trials registration. It is not feasible to effectively assess risk of selective reporting bias without these documents.
Other bias Low risk We identified no other sources of bias