Plate Fixation Versus Percutaneous Cannulated Screw Insertion in Sanders Type II and Type III Calcaneal Fractures

Plate Fixation Versus Percutaneous Cannulated Screw Insertion in Sanders Type II and Type III Calcaneal Fractures

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.

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.