Cast vs. boot: which heals a Child's ankle fracture best?

NCT ID NCT07751068

First seen Aug 07, 2026 ยท Last updated Aug 07, 2026

Summary

This trial compares two ways of treating a common ankle fracture in children: wearing a cast for six weeks versus using a boot and starting movement early. The goal is to see if the longer cast time helps the broken bone piece heal back together, preventing a small extra bone from forming. Children aged 5 to 12 with a first-time ankle avulsion fracture can participate, and their healing will be checked with ultrasound and X-rays.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Prolonged immobilization with a short-leg cast for 6 weeks, compared to standard care with a boot and early movement.
What this could lead to
If casting works, it could reduce the chance of a painful bone fragment forming after a child's ankle fracture, potentially improving healing and long-term outcomes.
What could go wrong
This is a small, early-stage trial, and casting may not prevent the bone fragment. It could also cause stiffness or muscle weakness compared to early movement.

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Conditions

The condition(s) this trial relates to.

bone fracture Fractures, Avulsion

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Texas Scottish Rite Hospital for Children

    RECRUITING

    Frisco, Texas, 75034, United States

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