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The Journal of Bone and Joint Surgery 79:1893-4 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Ronald J. Kendig, M.D., Brad Wyrsch, M.D., Mark McAndrew, M.D., Thomas J. Limbird, M.D., Marion C. Harper, M.D., Kenneth D. Johnson, M.D., Herbert S. Schwartz, M.D. and Mark A. McFerran, M.D.

TO THE EDITOR:

In "Operative Treatment of Fractures of the Tibial Plafond. A Randomized, Prospective Study" (78-A: 1646–1657, Nov. 1996), Wyrsch et al. performed a randomized prospective study to compare two methods of treatment for fractures of the tibial plafond: open reduction and internal fixation (nineteen patients; Group I) and external fixation with limited internal fixation (twenty patients; Group II). The patients were randomly assigned to a treatment group on the basis of which attending surgeon was on call when the patient was first seen. The six attending surgeons were assigned to a treatment group on the basis of their preferred treatment method. Presumably, the goal of this randomization process was to obtain a relatively equal distribution, between the two treatment groups, of the variables that might be related to outcome so that the two methods could be compared fairly. In the end, the two treatment groups were balanced with . . . [Full Text of this Article]


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