[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100625505":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":25,"centralContacts":25,"locations":25,"responsibleParty":30,"collaborators":25,"id":34,"slug":35,"hasResults":36,"nctId":37,"briefTitle":38,"officialTitle":38,"acronym":25,"eligibilityCriteria":39,"healthyVolunteers":40,"sex":41,"minAge":42,"maxAge":43,"enrollmentInfo":44,"targetDuration":25,"studyType":47,"phases":48,"briefSummary":50,"conditions":51,"keywords":53,"overallStatus":55,"whyStopped":25,"lastUpdateSubmitDate":56,"lastUpdatePostDateStruct":57,"startDateStruct":60,"completionDateStruct":62,"leadSponsor":64,"locationsCount":25},{"fullName":5,"class":6},"Al-Azhar University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Primary Subtalar Arthrodesis Group","EXPERIMENTAL","Patients with Sanders type III and IV intra-articular calcaneal fractures treated with primary subtalar arthrodesis using cannulated compression screws with plate fixation through an extended lateral approach.",[13],"Procedure: Primary Subtalar Arthrodesis",{"label":15,"type":10,"description":16,"interventionNames":17},"Open Reduction and Internal Fixation","Patients undergo open reduction and internal fixation of displaced intra-articular calcaneal fractures through an extended lateral approach. Fracture reduction is achieved under fluoroscopic guidance, restoring Bohler's and Gissane's angles. Fixation is performed using a locking calcaneal plate with screws. Postoperative care includes immobilization in a cast or splint, non-weight bearing for 8 weeks, followed by a standardized physiotherapy program. This procedure is distinguished from other calcaneal fracture treatments by the use of locking plate technology and precise anatomical reduction for Sanders type III and IV fractur",[18],"Procedure: Open reduction and internal fixation",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Primary Subtalar Arthrodesis","Patients undergo primary subtalar arthrodesis via an extended lateral approach. The articular cartilage of the subtalar joint is removed, the calcaneal morphology is restored, and fixation is achieved using cannulated compression screws with a locking plate. Postoperative care follows the same protocol as the ORIF group. This intervention is distinguished from other surgical techniques by performing fusion as the primary treatment in severely comminuted Sanders type III and IV fractures, aiming to reduce the risk of post-traumatic subtalar arthritis.",[9],null,{"type":21,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Open reduction and internal fixation","Patients undergo open reduction and internal fixation of displaced intra-articular calcaneal fractures through an extended lateral approach. Fracture reduction is achieved under fluoroscopic guidance, restoring Bohler's and Gissane's angles. Fixation is performed using a locking calcaneal plate with screws. Postoperative care includes immobilization in a cast or splint, non-weight bearing for 8 weeks, followed by a standardized physiotherapy program. This procedure is distinguished from other calcaneal fracture treatments by the use of locking plate technology and precise anatomical reduction for Sanders type III and IV fractures",[15],{"type":31,"investigatorFullName":32,"investigatorTitle":33,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"SPONSOR_INVESTIGATOR","Ahmed Gamal Ibrahim Saleh","A Prospective Randomized Controlled Trial Comparing ORIF with Primary Subtalar Arthrodesis Versus Open Reduction and Internal Fixation in Sanders Type III and IV Intra-Articular Calcaneal Fractures","100625505","comparative-study-between-internal-fixtion-and-primary-subtalar-arthrodesis-in-comminuted-intra-articular-calcaneal-fracture-100625505",false,"NCT07423507","Comparative Study Between Internal Fixtion And Primary Subtalar Arthrodesis In Comminuted Intra-Articular Calcaneal Fracture","Inclusion Criteria:\n\n* Sanders type 3 and 4 intra articular calcaneal fracture within 14 day of injury\n\nExclusion Criteria:\n\n* patient with open injury, concomitant foot injury, vascular compromise and prior subtalar pathology",true,"ALL","18 Years","65 Years",{"count":45,"type":46},40,"ESTIMATED","INTERVENTIONAL",[49],"NA","This study is to compare clinical outcome of Sanders type III or IV intra-articular calcaneal fracture treated with open reduction and internal fixation (ORIF) versus ORIF and primary subtalar arthrodesis (PSTA).",[52],"Calcaneus Fractures",[54],"primary subtalar arthrodesis VS ORIF","NOT_YET_RECRUITING","2026-02-14",{"date":58,"type":59},"2026-02-20","ACTUAL",{"date":61,"type":46},"2026-03-01",{"date":63,"type":46},"2028-01-02",{"name":32,"class":6}]