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Instead of providing a steady


It’s harvest time in the orchard. There’s quite a reasonable crop, although some of the fruit are rather small. The medlar and quince have also cropped well. To ensure identification of all eligible patients, we audited attendance at the emergency departments and the radiology records.Surgeons in each centre identified potential participants, assessed eligibility, and graded each fracture into one of four types according to Sanders classification: 1=non displaced fractures (displacement 20 Research associates approached eligible patients to explain the trial, supported by a DVD presentation. Patients who consented to participate were randomised 1:1 to receive operative or non operative care, using a mimimisation algorithm for centre, smoking status, diabetes, bilaterality, and Sanders classification. Randomisation was by participant, so those with bilateral fractures were allocated the same treatment on both sides.

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