A multicentre, randomized, pragmatic, parallel group, non-inferiority trial to compare the clinical and cost-effectiveness of sling immobilization versus surgery in the management of adults with a displaced fracture of the distal clavicle
There is uncertainty around whether a sling immobilization pathway is non-inferior to surgery and which of these two treatments is cost-effective. The DIDACT trial is a sufficiently powered and rigorously designed study to inform clinical decisions for the treatment of adults with this injury.
Authors
- Steve Parrott (ORCID: https://orcid.org/0000-0002-0165-1150)
- David R Annison (ORCID: https://orcid.org/0000-0003-3961-036X)
- Kalpita Baird
- Catriona McDaid (ORCID: https://orcid.org/0000-0002-3751-7260)
- Helen Tunnicliffe (ORCID: https://orcid.org/0000-0003-2637-488X)
- Stephen Brealey (ORCID: https://orcid.org/0000-0001-9749-7014)
- Suzanne K. Swan
- Laura Strachan (ORCID: https://orcid.org/0000-0001-9065-3985)
- Jinshuo Li (ORCID: https://orcid.org/0000-0003-1496-7450)
- Amar Rangan (ORCID: https://orcid.org/0000-0002-5452-8578)
- Karen Glerum–Brooks
- Catherine Hewitt (ORCID: https://orcid.org/0009-0001-5184-2027)
- F. Clifford Rose (ORCID: https://orcid.org/0000-0003-0587-683X)
- Marna S. Barrett
- Hannah L Rodrick (ORCID: https://orcid.org/0009-0004-9606-7855)
Institutions
- Leicester Royal Infirmary (GB)
- Leicester General Hospital (GB)
- James Cook University Hospital (GB)
- University Hospitals of Leicester NHS Trust (GB)
- University of York (GB)
Publication Details
- Journal
- Bone & Joint Open
- Published
- 2025-10-08
- DOI
- https://doi.org/10.1302/2633-1462.610.bjo-2025-0131
- Primary Topic
- Shoulder and Clavicle Injuries
- Type
- article
- Field-Weighted Citation Impact
- 0.00