Primary Subtalar Arthrodesis for Calcaneal Fractures

Description

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.

Conditions

Calcaneus Fracture

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Study Overview

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Study Details

Study overview

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.

Primary Subtalar Arthrodesis for Calcaneal Fractures to Optimize Performance: A Randomized Clinical Trial

Primary Subtalar Arthrodesis for Calcaneal Fractures

Condition
Calcaneus Fracture
Intervention / Treatment

-

Contacts and Locations

Birmingham

University of Alabama Birmingham, Birmingham, Alabama, United States, 35233

New Haven

Yale University School of Medicine, New Haven, Connecticut, United States, 06510

Macon

Atrium Health Navicent, Macon, Georgia, United States, 31201

Lexington

University of Kentucky, Lexington, Kentucky, United States, 40536

New Orleans

Louisiana State University - University Medical Center New Orleans, New Orleans, Louisiana, United States, 70112

Baltimore

University of Maryland Medical Center, Baltimore, Maryland, United States, 21201

Chapel Hill

University of North Carolina Chapel Hill, Chapel Hill, North Carolina, United States, 27546

Charlotte

Atrium Health Carolinas Medical Center, Charlotte, North Carolina, United States, 28203

Charlotte

OrthoCarolina Foot and Ankle Institute, Charlotte, North Carolina, United States, 28204

Concord

Atrium Health Cabarrus, Concord, North Carolina, United States, 28025

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * 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
  • * 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
  • * Unable to follow up at site for 1 year
  • * Patients that speak neither English or Spanish
  • * Prisoner

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Wake Forest University Health Sciences,

Joseph R Hsu, MD, PRINCIPAL_INVESTIGATOR, Wake Forest University Health Sciences

Study Record Dates

2026-12