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

Ain Shams University

Status: Active, not recruiting

Conditions: Calcaneus Fractures

Treatments: Procedure: percutaneous cannulated screw fixation; Procedure: Plate fixation

Study type: Interventional

Funder types: Other

Identifiers

NCT07111897

MS297/2025

Details and patient eligibility

About

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.

Enrollment: 48 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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48 participants in 2 patient groups

Percutaneous Cannulated Screws

Experimental group

Treatment:

Procedure: percutaneous cannulated screw fixation

Plate Fixation

Experimental group

Description:

Fixation of calcaneal fracture by plate

Treatment:

Procedure: Plate fixation