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Treatment of severe ankle sprain : a pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage : the CAST trial
Journal article   Open access   Peer reviewed

Treatment of severe ankle sprain : a pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage : the CAST trial

Matthew W Cooke, J. L. Marsh, Michael Clark, Rachel A. Nakash, Rosemary M. Jarvis, Jane L Hutton, Ala Szczepura, Sue Wilson, S. E. Lamb and CAST Trial Group
Health Technology Assessment, Vol.13(13), p.iii, 144 pages
02/2009
DOI: 10.3310/hta13130
PMID: 19232157
url
https://doi.org/10.3310/hta13130View
Published (Version of record) Open Access

Abstract

To estimate (1) The clinical effectiveness of three different methods of ankle support (below knee plaster cast, Kendall ankle support, Bledsoe boot) in comparison to Tubigrip in the recovery of mobility and function after Grade II and III sprains of the ankle joint. (2) The cost-effectiveness of the three different methods of ankle support in comparison to Tubigrip only. The economic analysis will be conducted from a societal perspective.\ud \ud Tubigrip has been chosen as the reference (status quo) treatment; it is the cheapest, but is likely to be least effective (ref 1). The Bledsoe boot is a factor of 30 times more expensive (US$50 usual,assuming no re-use), and its clinical effectiveness is yet to be proven. The below knee plaster cast will be Scotch Cast (cost £5). There are a range of ankle supports available. We have selected the Kendall Gel Brace (£19 per brace), which is the cheapest and. in our experience is as clinically effective as other brands. All treatments will be provided in the NHS, in a manner consistent with current national practice.

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