Primary Subtalar Arthrodesis for Calcaneal Fractures

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorWake Forest University Health Sciences

About this trial

Management of severe injuries to the heel (displaced intra-articular calcaneus fractures) continues to be a major challenge for orthopedic surgeons. Previous studies have demonstrated poor outcomes, and results show that patients experience long-term pain and decreased quality of life postoperatively. Poor outcomes are driven by pain, in particular, which is linked to post-traumatic subtalar arthritis.

Eligibility criteria

Qualifiers

Undergoing operative treatment for displaced intra-articular calcaneus fracture

Sanders III and IV displaced intra-articular calcaneus fracture OR Sanders II with any of the following criteria: Bohler angle < 0 degrees, open fracture, pain syndrome, substance use disorder

Age 18 or older

Able to follow up at site for 1 year

Disqualifiers

Planned surgery using extensile lateral approach

Sanders II displaced intra-articular calcaneus fracture without: Bohler angle < 0 degrees, open fracture, pain syndrome, or substance

<18 years of age

Body Mass Index (BMI) >40

Trial design

Treatments tested in this trial

  • Primary Fusion (Open Reduction Internal Fixation (ORIF) + Primary Subtalar Arthrodesis (PSTA)
  • Open Reduction Internal Fixation (ORIF) only

Treatment groups

218 Participants
are divided into 2 treatment groups