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Correspondence

TO THE EDITOR:

I was dismayed on reading "Editorial. The Prospective, Randomized, Double-Blind Clinical Trial in Orthopaedic Surgery" (79-A: 1119–1120, Aug. 1997) by Clark.

From this editorial, it would appear that the first and only paper to address a clinical problem in orthopaedics with use of the so-called gold standard of a randomized, controlled trial was that by Barrack et al.².

The editorial ignored the fact that, four years ago, my research group used the randomized, controlled trial design to study whether a tourniquet is beneficial in the operative treatment of fractures of the distal aspect of the fibula¹². This omission is even more difficult to understand given the . . . [Full Text of this Article]

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