Jones 2001.
Methods | Randomised trial Study period: not reported; trial registration document suggests October 1998 to April 1999 |
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Participants | Location of trial: probably Gwynedd Hospitals NHS Trust, Ysbyty Gwynedd, Bangor, Wales, UK 50 children with a distal radius buckle fracture Exclusion: not reported Sex: not reported Age: mean 6.2 years (3 to 10) Fracture type: buckle fracture Assigned: 25 (bandage) / 25 (cast) Analysed: 24 / 25 (at 3 to 4 weeks) |
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Interventions | 1. Wool and crepe bandage for 3 weeks 2. Below‐elbow (short arm) POP cast for 3 weeks and thereafter mobilisation. (Described as "standard POP back slab" in probable trial registration document) Weekly review |
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Outcomes | Length of follow‐up: 3 to 4 weeks (end of treatment) Function data: not reported, no formal data collection Clinical union Delayed healing (treatment extended1 week) Adverse events (1 unrelated injury to contralateral elbow reported; not included in review) Parent satisfaction |
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Funding and declarations of interest | Funding source: not stated Declarations of interest: not stated |
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Notes | Trial published as a poster abstract; no full report available. Linked to a National Research Register entry on 1 of the review author's (HH) files but with some unexplained discrepancies. Neither the abstract nor the trial registration documentation are now available online | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: “Twenty‐five patients were randomised to each group” No information on method |
Allocation concealment (selection bias) | Unclear risk | No information |
Blinding of participants and personnel (performance bias) Subjective outcomes | High risk | Blinding not feasible |
Blinding of participants and personnel (performance bias) Objective outcomes | High risk | Blinding not feasible |
Blinding of outcome assessment (detection bias) Subjective outcomes | High risk | Unlikely to be blinded |
Blinding of outcome assessment (detection bias) Objective outcomes | High risk | Unlikely to be blinded |
Incomplete outcome data (attrition bias) Subjective outcomes | Low risk | 1 participant withdrawn from wool and crepe group (4% of 25 participants). Unlikely to be a problem |
Incomplete outcome data (attrition bias) Objective outcomes | Low risk | 1 participant withdrawn from wool and crepe group (4% of 25 participants) Unlikely to be a problem |
Selective reporting (reporting bias) | High risk | Incompletely reported only in a poster abstract |
Other bias: major imbalance in baseline characteristics | Unclear risk | Baseline characteristics not reported by group |
Other bias: performance bias | Unclear risk | No information available |
Other bias | Low risk | None apparent |