Primary Subtalar Arthrodesis for Calcaneal Fractures
Primary Subtalar Arthrodesis for Calcaneal Fractures to Optimize Performance: A Randomized Clinical Trial
Wake Forest University Health Sciences
218 participants
Sep 2, 2024
INTERVENTIONAL
Conditions
Summary
Management of severe injuries to the heel (displaced intra-articular calcaneus fractures) continues to be a major challenge for orthopedic surgeons. Previous studies have demonstrated poor outcomes, and results show that patients experience long-term pain and decreased quality of life postoperatively. Poor outcomes are driven by pain, in particular, which is linked to post-traumatic subtalar arthritis.
Eligibility
Inclusion Criteria4
- Undergoing operative treatment for displaced intra-articular calcaneus fracture
- Sanders III and IV displaced intra-articular calcaneus fracture OR Sanders II with any of the following criteria: Bohler angle < 0 degrees, open fracture, pain syndrome, substance use disorder
- Age 18 or older
- Able to follow up at site for 1 year
Exclusion Criteria7
- Planned surgery using extensile lateral approach
- Sanders II displaced intra-articular calcaneus fracture without: Bohler angle < 0 degrees, open fracture, pain syndrome, or substance
- <18 years of age
- Body Mass Index (BMI) >40
- Unable to follow up at site for 1 year
- Patients that speak neither English or Spanish
- Prisoner
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Interventions
Definitive fixation by joint fusion
Definitive fixation with plates and screws
Locations(14)
View Full Details on ClinicalTrials.gov
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NCT06249126