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
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  Data: 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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  Data: <searchLink fieldCode="AU" term="%22Perry+DC%22">Perry DC</searchLink>; 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.<br /><searchLink fieldCode="AU" term="%22Achten+J%22">Achten J</searchLink>; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Zimmermann+A%22">Zimmermann A</searchLink>; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Kandiyali+R%22">Kandiyali R</searchLink>; Warwick Clinical Trials Unit, University of Warwick, Warwick, UK.<br /><searchLink fieldCode="AU" term="%22Appelbe+D%22">Appelbe D</searchLink>; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Wright+JG%22">Wright JG</searchLink>; The Hospital for Sick Children, Toronto, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Ferguson+D%22">Ferguson D</searchLink>; South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.<br /><searchLink fieldCode="AU" term="%22Wang+K%22">Wang K</searchLink>; Royal Children's Hospital, Melbourne, VIC, Australia.<br /><searchLink fieldCode="AU" term="%22Wilson+N%22">Wilson N</searchLink>; Faculty of Medical and Health Sciences, Auckland University, Auckland, New Zealand.<br /><searchLink fieldCode="AU" term="%22Moscrop+A%22">Moscrop A</searchLink>; Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Mason+J%22">Mason J</searchLink>; Warwick Clinical Trials Unit, University of Warwick, Warwick, UK.<br /><searchLink fieldCode="AU" term="%22Kounali+D%22">Kounali D</searchLink>; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Costa+ML%22">Costa ML</searchLink>; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
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  Data: <searchLink fieldCode="CA" term="%22SCIENCE+Study+Collaborators%22">SCIENCE Study Collaborators</searchLink>
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  Data: <searchLink fieldCode="JN" term="%222985213R%22">Lancet (London, England)</searchLink> [Lancet] 2026 Feb 07; Vol. 407 (10528), pp. 577-586. <i>Date of Electronic Publication: </i>2026 Jan 20.
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