Primary Subtalar Arthrodesis for Calcaneal Fractures
Start Date
9/2/2024
Completion Date
12/1/2026
Summary
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.
Detailed Description
The goal of this clinical trial is to compare two surgical options for calcaneus fractures to determine best treatment for returning to work sooner in adults. Participants will be randomized to one of two treatment options and will be asked to complete patient reported outcome measure surveys. Researchers will compare Open Reduction and Internal Fixation (ORIF) + Primary Subtalar Arthrodesis (PSTA) to ORIF alone to see which group returns to work at an earlier timepoint.
Eligibility Criteria
Age Range: 18 years to No maximum
Interventions
Primary Fusion (Open Reduction Internal Fixation (ORIF) + Primary Subtalar Arthrodesis (PSTA)
Open Reduction Internal Fixation (ORIF) only
Conditions
Locations
University of California, Irvine
Orange, California 92868
United States
Emory University, Grady Memorial Research Hospital
Atlanta, Georgia 30303
United States
Atrium Health Navicent
Macon, Georgia 31201
United States
The University of Chicago
Chicago, Illinois 60637
United States
University of Kentucky
Lexington, Kentucky 40536
United States
Louisiana State University - University Medical Center New Orleans
New Orleans, Louisiana 70112
United States
University of Maryland Medical Center
Baltimore, Maryland 21201
United States
Jamaica Hospital Medical Center
Jamaica, New York 11418
United States
NYC Health and Hospital/Bellevue
New York, New York 10016
United States
University of North Carolina Chapel Hill
Chapel Hill, North Carolina 27546
United States
Atrium Health Carolinas Medical Center
Charlotte, North Carolina 28203
United States
OrthoCarolina Foot and Ankle Institute
Charlotte, North Carolina 28204
United States
Atrium Health Cabarrus
Concord, North Carolina 28025
United States
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina 27157
United States
Prisma Health
Greenville, South Carolina 29605
United States
Vanderbilt University Medical Center
Nashville, Tennessee 37232
United States
The University of Texas Medical Branch
Galveston, Texas 77555
United States