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Sanders â…¡ and â…¢ 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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Percutaneous Cannulated Screws | Experimental |
| |
| Plate Fixation | Experimental | Fixation of calcaneal fracture by plate |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| percutaneous cannulated screw fixation | Procedure | fixation of calcaneal fractures by cannulated screws inserted percutaneously |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bohler Angle | Preoperative, immediate postoperative, and at 6 months. | |
| Gissane Angle | Preoperative, immediate postoperative, and at 6 months. | |
| AOFAS Score | At 6 months. | |
| 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. | |
| Surgical time | intra-operative |
| Measure | Description | Time Frame |
|---|---|---|
| Time to union | at radiological evidence of healing, in 6 weeks. | |
| Subtalar Arthritis | At 6 months. | |
| Complication Rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Awab A. Moussa, MD Candidate | Faculty of Medicine, Ain shams university, Cario, Egypt. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty Of Medicine, Ain Shams university. | Cairo | Cairo Governorate | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | 1. Rockwood Ca Jr, Greene DP. Rockwood and Green's fractures in adults. 4th ed. Philadelphia: Lippincott-Raven; 1996. p. 2405-62. 2. Mitchell MJ, McKinley JC, Robinson CM. The epidemiology of calcaneal fractures. Foot (Edinb). 2009 Dec;19(4):197-200. doi: 10.1016/j.foot.2009.05.001. PMID: 20307476. 3. Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res. 1993 May;(290):87-95. PMID: 8472475IF: 4.2 Q1. 4. Yeo, J. H., Cho, H. J., & Lee, K. B. (2015). Comparison of two surgical approaches for displaced intra-articular calcaneal fractures: sinus tarsi versus extensile lateral approach. BMC musculoskeletal disorders, 16, 63. https://doi.org/10.1186/s12891-015-0519-0 5. Ibrahim T, Rowsell M, Rennie W, Brown AR, Taylor GJ, Gregg PJ: Displaced intra-articular calcaneal fractures: 15-year follow-up of a randomised controlled trial of conservative versus operative treatment. Injury 2007;38(7):848-855. 6. Gougoulias N, Khanna A, McBride DJ, Maffulli N: Management of calcaneal fractures: Systematic review of randomized trials. Br Med Bull 2009;92:153-167. 7. Swanson SA, Clare MP, Sanders RW: Management of intra-articular fractures of the calcaneus. Foot Ankle Clin 2008;13(4): 659-678. 8. Hsu AR, Anderson RB, Cohen BE. Advances in Surgical Management of Intra-articular Calcaneus Fractures. J Am Acad Orthop Surg. 2015 Jul;23(7):399-407. doi: 10.5435/JAAOS-D-14-00287IF: 2.6 Q1 . PMID: 26111874. 9. Backes, M., Schepers, T., Beerekamp, M. S., Luitse, J. S., Goslings, J. C., & Schep, N. W. (2014). Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach. International orthopaedics, 38(4), 767-773. https://doi.org/10.1007/s00264-013-2181-1 10. Feng, Y., Shui, X., Wang, J. et al. Comparison of percutaneous cannulated screw fixation and calcium sulfate cement gra |
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For property rights and privacy protection
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| ID | Term |
|---|---|
| D005593 | Fracture Fixation, Internal |
| ID | Term |
|---|---|
| D005592 | Fracture Fixation |
| D019637 | Orthopedic Procedures |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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| Plate fixation | Procedure | Fixation of calcaneal fracture by plate. |
|
|
| At 6 months. |