Surgical fixation versus non-surgical care for children with a displaced medial epicondyle fracture of the elbow (the SCIENCE study): a multicentre, randomised controlled, superiority trial and economic evaluation.

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Title: Surgical fixation versus non-surgical care for children with a displaced medial epicondyle fracture of the elbow (the SCIENCE study): a multicentre, randomised controlled, superiority trial and economic evaluation.
Authors: Perry DC; Liverpool Institute of Child Health and Well Being, University of Liverpool, Liverpool, UK; Alder Hey Children's Hospital, Liverpool, UK; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. Electronic address: danperry@liverpool.ac.uk., Achten J; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK., Zimmermann A; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK., Kandiyali R; Warwick Clinical Trials Unit, University of Warwick, Warwick, UK., Appelbe D; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK., Wright JG; The Hospital for Sick Children, Toronto, ON, Canada., Ferguson D; South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK., Wang K; Royal Children's Hospital, Melbourne, VIC, Australia., Wilson N; Faculty of Medical and Health Sciences, Auckland University, Auckland, New Zealand., Moscrop A; Oxford, UK., Mason J; Warwick Clinical Trials Unit, University of Warwick, Warwick, UK., Kounali D; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK., Costa ML; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Corporate Authors: SCIENCE Study Collaborators
Source: Lancet (London, England) [Lancet] 2026 Feb 07; Vol. 407 (10528), pp. 577-586. Date of Electronic Publication: 2026 Jan 20.
Publication Type: Journal Article; Multicenter Study; Pragmatic Clinical Trial; Randomized Controlled Trial; Equivalence Trial; Comparative Study
Journal Info: Publisher: Elsevier Country of Publication: England NLM ID: 2985213R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1474-547X (Electronic) Linking ISSN: 01406736 NLM ISO Abbreviation: Lancet Subsets: MEDLINE
Database: MEDLINE Ultimate
Description
ISSN:1474-547X
DOI:10.1016/S0140-6736(25)02098-7