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5% CL -6.0, 11.5) and between VLPS and pinning by -0.14(-9.2,8.9). However, at 6 weeks, mean MHQ Summary score for VLPS was greater than EFP by 19(p less then 0.001), pinning by 11(p less then 0.001) and casting by 7(p=0.03). VLPS participants demonstrated significantly better radiologic alignment throughout the follow-up period, though there was no relationship between any outcome and radiographic alignment. Malunion was experienced by 48% of casting participants. CONCLUSIONS Recovery was fastest for VLPS participants and slowest for EF