Close Contact Casting (CCC) Technique Training

Each surgeon carrying out CCC in the trial will receive training prior to the trial going live at a site. Other members of the sites team, such as plaster technicians, may also attend the training if required. 

The AIM Research Physiotherapist, David Keene, will be visiting sites to deliver CCC training.

A DVD covering the Close Contact Casting technique is availble to support the training.

The Protocol states:

The study will ensure that all operating surgeons will have completed training that is consistent with the requirements of contemporary practice in the NHS before being permitted to utilise the surgical or casting techniques. This will include using educational materials and reference to surgical technique manuals.

We will monitor and analyse data to establish the extent, if any, of learning or expertise effects. It is common practice that surgeons have particular expertise in selected techniques, and for surgical teams to organise their workloads so that expertise is utilised to best effect. This study will not interfere with this dynamic. It is therefore not easy to anticipate the direction of expertise and learning effects. For each surgeon participating in the study, we will collect the following information: historical experience and preferences for ORIF and casting, grade of surgeon, time since qualification as a surgeon, time since first operation on the study. We will analyse the data for evidence of learning and expertise effects. This will then guide recommendations on implementation and training if the technology proves effective.  

We will therefore collect basic baseline data on experience and preference at the first CCC training day.


1.  Will we receive any training in the use of CCC?

Yes, a member of the AIM trial team will work with you and your colleagues to provide training. It is a very straightforward modification of standard casting.

2.  Must we undertake CCC training?

When evaluating CCC treatment it is important to ensure all surgeons carrying out CCC have similar training in its use. We therefore ask surgeons who will be carrying out the CCC treatment in theatre to receive training.

The trial will monitor and analyse baseline training and treatment data to establish the extent, if any, of learning or expertise effects. It is therefore important that anyone who will be taking forward the CCC treatment is trained before the trial commences at your site. Top up training will be available.

A member of the AIM Trial co-ordinating team will visit you once your local approvals have been submitted.

Plaster technicians may also wish to attend the training or view a DVD on CCC but the trial will not collect experience and preference data from this staff group.

3.  Does the trial provide the CCC materials for trial patients?

You should use your usual casting materials. The application of the cast is what is different for the AIM trial.

4.   I want to know more about CCC, where can I find more information?

See the AIM trial Protocol (Appendix 1 and references).

Do contact David Keene in the trial office to discuss any aspects of the Close Contact Casting, or to organise a visit to your site (telephone number in the footer of this page).


Relevant Documents
Summary Protocol
AIM Flowchart
AO Ankle Fracture Classification
CCC Training Form
Primary treatment in theatre
AIM Stand at BOFAS Nov 2010