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NCT Number: NCT07111897

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.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Calcaneus Fractures

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty Of Medicine, Ain Shams university.

Cairo, Cairo Governorate, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with calcaneal fractures according to Sanders classification are Sanders type II or type III.
  • Closed calcaneal fracture.
  • Patients aged 18-60.

Exclusion criteria

  • Patients with calcaneal fractures classified as Sanders type I or IV.
  • Open calcaneal fractures.
  • Patients with systemic comorbidities preventing surgical intervention (unfit patients).
  • Patients younger than 18 years old or older than 60.
  • Patients with associated spinal fractures.
  • Patients with other fractures in the same limb.

Treatment and study plan

percutaneous cannulated screw fixation

Procedure

fixation of calcaneal fractures by cannulated screws inserted percutaneously

Plate fixation

Procedure

Fixation of calcaneal fracture by plate.

Other names: osteosynthesis

Primary outcomes

  1. Bohler Angle

    Time frame: Preoperative, immediate postoperative, and at 6 months.

  2. Gissane Angle

    Time frame: Preoperative, immediate postoperative, and at 6 months.

  3. AOFAS Score

    Time frame: At 6 months.

  4. Calcaneal width

    Time frame: Preoperative, immediate postoperative, and at 6 months.

  5. Calcaneal height

    Time frame: Preoperative, immediate postoperative, and at 6 months.

  6. Calcaneal length

    Time frame: Preoperative, immediate postoperative, and at 6 months.

  7. Surgical time

    Time frame: intra-operative

Secondary outcomes

  1. Time to union

    Time frame: at radiological evidence of healing, in 6 weeks.

  2. Subtalar Arthritis

    Time frame: At 6 months.

  3. Complication Rate

    Time frame: At 6 months.

Sponsors and collaborators

Lead sponsor

Ain Shams University

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Aug 8, 2025
Registry last updated
Aug 8, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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