Calcaneus Fractures
Conditions
Brief summary
Sanders Ⅱ and Ⅲ intra-articular calcaneal fractures primarily result from falls from height, often accompanied by severe flap soft tissue injury and notable displacement of fracture fragments, which can pose significant reconstruction challenges. The traditional L lateral incision open reduction and internal fixation technique is considered the gold standard for the surgical treatment of calcaneal fractures. This trial aims to demonstrate that Percutaneous Cannulated Screws are not inferior to open reduction and internal fixation (ORIF) with plates in the treatment of calcaneal fractures.
Interventions
PROCEDUREpercutaneous cannulated screw fixation
fixation of calcaneal fractures by cannulated screws inserted percutaneously
PROCEDUREPlate fixation
Fixation of calcaneal fracture by plate.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. Patients with calcaneal fractures according to Sanders classification are Sanders type II or type III. 2. Closed calcaneal fracture. 3. Patients aged 18-60.
Exclusion criteria
1. Patients with calcaneal fractures classified as Sanders type I or IV. 2. Open calcaneal fractures. 3. Patients with systemic comorbidities preventing surgical intervention (unfit patients). 4. Patients younger than 18 years old or older than 60. 5. Patients with associated spinal fractures. 6. Patients with other fractures in the same limb.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surgical time | intra-operative |
| Calcaneal width | Preoperative, immediate postoperative, and at 6 months. |
| Calcaneal height | Preoperative, immediate postoperative, and at 6 months. |
| Calcaneal length | Preoperative, immediate postoperative, and at 6 months. |
| Bohler Angle | Preoperative, immediate postoperative, and at 6 months. |
| Gissane Angle | Preoperative, immediate postoperative, and at 6 months. |
| AOFAS Score | At 6 months. |
Secondary
| Measure | Time frame |
|---|---|
| Subtalar Arthritis | At 6 months. |
| Complication Rate | At 6 months. |
| Time to union | at radiological evidence of healing, in 6 weeks. |
Countries
Egypt
Outcome results
None listed