Minimally Invasive Procedure Versus Conservative Treatment in the Management of Calcaneal Joint Fractures

Launched by CENTRE HOSPITALIER UNIVERSITAIRE DE NICE · Jan 15, 2025

Keywords

ClinConnect Summary

This clinical trial is studying two different ways to treat fractures of the calcaneus, which is the heel bone. These fractures often happen in younger people and can lead to long recovery times. Traditionally, doctors have either put the foot in a cast to heal without surgery or performed open surgery, which requires a large cut to fix the bone but can lead to complications. The trial will compare a newer method called minimally invasive surgery, which uses smaller cuts, to the traditional non-surgical method using a plaster boot. The goal is to see if the new surgical approach helps patients recover faster and have fewer problems in the long run.

To participate in this trial, you must be at least 18 years old and have a specific type of heel fracture that is less than 15 days old. You also need to be part of a social security scheme and agree to take part in the study. Unfortunately, some people may not be eligible, such as those with open fractures, certain other injuries, or specific health conditions. If you join, you can expect to be randomly assigned to one of the two treatment groups and closely monitored throughout your recovery to gather valuable information about the best treatment options for these types of fractures.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Patient aged 18 or over
• • 2. Patient with a posterior articular fracture of the calcaneus Sanders II to IV, less than 15 days old
• • 3. Patient affiliated to a social security scheme,
• • 4. Patient having given written consent following written and oral information.
• Exclusion Criteria:
• • 1. Patient with open calcaneal fracture
• • 2. Patient with bilateral calcaneal fracture
• • 3. Patient with extreme varus or valgus impingement of the fibula
• • 4. Patient with associated talar, tibial, femoral and/or pelvic fracture or associated spinal cord injury.
• • 5. Patient unsuitable for loco-regional anaesthesia (LRA).
• • 6. Patient with neuro-psychiatric disorders resulting in an inability to follow a post-surgical or post-immobilisation rehabilitation protocol.
• • 7. Pregnant women
• • 8. Patient protected by law under guardianship or curatorship, or unable to participate in a clinical study under article L. 1121-16 of the French Public Health Code.