Calcaneus FracturesNCT07111897
Plate Fixation Versus Percutaneous Cannulated Screw Insertion in Sanders Type II and Type III Calcaneal Fractures
A study testing percutaneous cannulated screw fixation and Plate fixation in people with Calcaneus Fractures, run by Ain Shams University at 1 site in Egypt.
Trial summary
Sanders Ⅱ and Ⅲ intra-articular calcaneal fractures primarily result from falls from height, often accompanied by severe flap soft tissue injury and notable displacement of fracture fragments, which can pose significant reconstruction challenges. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Calcaneus Fractures
- What is being tested?
- percutaneous cannulated screw fixation and Plate fixation
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 48 participants
- Where
- 1 siteEgypt
- Study dates
- 15 May 2025to 1 Nov 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients with calcaneal fractures according to Sanders classification are Sanders type II or type III.
- Closed calcaneal fracture.
- Patients aged 18-60.
Who cannot join
- Patients with calcaneal fractures classified as Sanders type I or IV.
- Open calcaneal fractures.
- Patients with systemic comorbidities preventing surgical intervention (unfit patients).
- Patients younger than 18 years old or older than 60.
- Patients with associated spinal fractures.
- Patients with other fractures in the same limb.
Trial locations and contacts
1 site in 1 country.
About this study
Sanders Ⅱ and Ⅲ intra-articular calcaneal fractures primarily result from falls from height, often accompanied by severe flap soft tissue injury and notable displacement of fracture fragments, which can pose significant reconstruction challenges. The traditional "L" lateral incision open reduction and internal fixation technique is considered the gold standard for the surgical treatment of calcaneal fractures. This trial aims to demonstrate that Percutaneous Cannulated Screws are not inferior to open reduction and internal fixation (ORIF) with plates in the treatment of calcaneal fractures.
- Conditions
- Calcaneus Fractures
- Being tested
- percutaneous cannulated screw fixation, Plate fixation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
percutaneous cannulated screw fixationProcedure or surgery
fixation of calcaneal fractures by cannulated screws inserted percutaneously
Plate fixationProcedure or surgery
Also called osteosynthesis
Fixation of calcaneal fracture by plate.
| Study group | Role | What they receive |
|---|---|---|
| Percutaneous Cannulated Screws | Experimental | Not described Receives: Procedure: percutaneous cannulated screw fixation |
| Plate Fixation | Experimental | Fixation of calcaneal fracture by plate Receives: Procedure: Plate fixation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Bohler Angle
Measured: Preoperative, immediate postoperative, and at 6 months.
Gissane Angle
Measured: Preoperative, immediate postoperative, and at 6 months.
AOFAS Score
Measured: At 6 months.
Calcaneal width
Measured: Preoperative, immediate postoperative, and at 6 months.
Calcaneal height
Measured: Preoperative, immediate postoperative, and at 6 months.
Calcaneal length
Measured: Preoperative, immediate postoperative, and at 6 months.
Surgical time
Measured: intra-operative
Secondary outcomes (3)
Time to union
Measured: at radiological evidence of healing, in 6 weeks.
Subtalar Arthritis
Measured: At 6 months.
Complication Rate
Measured: At 6 months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Aug 2025
- Study start15 May 2025
- Primary completion28 Jun 2025
- Study completion1 Nov 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Calcaneus FracturesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 48 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ain Shams University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Awab A. Moussa, MD Candidate, Study director, Faculty of Medicine, Ain shams university, Cario, Egypt.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07111897
- Sponsor's protocol ID
- MS297/2025
- Status last verified
- May 2025
- First submitted
- 24 Jul 2025
- Last updated
- 8 Aug 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: For property rights and privacy protection
Publications
1. Rockwood Ca Jr, Greene DP. Rockwood and Green's fractures in adults. 4th ed. Philadelphia: Lippincott-Raven; 1996. p. 2405-62. 2. Mitchell MJ, McKinley JC, Robinson CM. The epidemiology of calcaneal fractures. Foot (Edinb). 2009 Dec;19(4):197-200. doi: 10.1016/j.foot.2009.05.001. PMID: 20307476. 3. Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res. 1993 May;(290):87-95. PMID: 8472475IF: 4.2 Q1. 4. Yeo, J. H., Cho, H. J., & Lee, K. B. (2015). Comparison of two surgical approaches for displaced intra-articular calcaneal fractures: sinus tarsi versus extensile lateral approach. BMC musculoskeletal disorders, 16, 63. https://doi.org/10.1186/s12891-015-0519-0 5. Ibrahim T, Rowsell M, Rennie W, Brown AR, Taylor GJ, Gregg PJ: Displaced intra-articular calcaneal fractures: 15-year follow-up of a randomised controlled trial of conservative versus operative treatment. Injury 2007;38(7):848-855. 6. Gougoulias N, Khanna A, McBride DJ, Maffulli N: Management of calcaneal fractures: Systematic review of randomized trials. Br Med Bull 2009;92:153-167. 7. Swanson SA, Clare MP, Sanders RW: Management of intra-articular fractures of the calcaneus. Foot Ankle Clin 2008;13(4): 659-678. 8. Hsu AR, Anderson RB, Cohen BE. Advances in Surgical Management of Intra-articular Calcaneus Fractures. J Am Acad Orthop Surg. 2015 Jul;23(7):399-407. doi: 10.5435/JAAOS-D-14-00287IF: 2.6 Q1 . PMID: 26111874. 9. Backes, M., Schepers, T., Beerekamp, M. S., Luitse, J. S., Goslings, J. C., & Schep, N. W. (2014). Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach. International orthopaedics, 38(4), 767-773. https://doi.org/10.1007/s00264-013-2181-1 10. Feng, Y., Shui, X., Wang, J. et al. Comparison of percutaneous cannulated screw fixation and calcium sulfate cement gra
Study at a glance
From the registry record, last updated by the sponsor on 8 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Plate Fixation Versus Percutaneous Cannulated Screw Insertion in Sanders Type II and Type III Calcaneal Fractures
- ClinicalTrials.gov ID
- NCT07111897
- Acronym / sponsor ID
- MS297/2025
- Conditions
- Calcaneus Fractures
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 48 participants (actual)
- Lead sponsor
- Ain Shams UniversityUniversity, hospital or other
- Study start
- 15 May 2025 (actual)
- Primary completion
- 28 Jun 2025 (actual)
- Study completion
- 1 Nov 2025 (estimated)
- First posted
- 8 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Sanders Ⅱ and Ⅲ intra-articular calcaneal fractures primarily result from falls from height, often accompanied by severe flap soft tissue injury and notable displacement of fracture fragments, which can pose significant reconstruction challenges. The traditional "L" lateral incision open reduction and internal fixation technique is considered the gold standard for the surgical treatment of calcaneal fractures. This trial aims to demonstrate that Percutaneous Cannulated Screws are not inferior to open reduction and internal fixation (ORIF) with plates in the treatment of calcaneal fractures.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Percutaneous Cannulated Screws | Experimental | Procedure: percutaneous cannulated screw fixation |
| Plate Fixation | Experimental | Procedure: Plate fixationFixation of calcaneal fracture by plate |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Patients with calcaneal fractures according to Sanders classification are Sanders type II or type III.
- Closed calcaneal fracture.
- Patients aged 18-60.
Key exclusion criteria (6 listed)
- Patients with calcaneal fractures classified as Sanders type I or IV.
- Open calcaneal fractures.
- Patients with systemic comorbidities preventing surgical intervention (unfit patients).
- Patients younger than 18 years old or older than 60.
- Patients with associated spinal fractures.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| percutaneous cannulated screw fixationfixation of calcaneal fractures by cannulated screws inserted percutaneously | Procedure or surgery | Percutaneous Cannulated Screws |
| Plate fixationAlso: osteosynthesisFixation of calcaneal fracture by plate. | Procedure or surgery | Plate Fixation |
Primary outcome
Bohler Angle
Time frame: Preoperative, immediate postoperative, and at 6 months.
Gissane Angle
Time frame: Preoperative, immediate postoperative, and at 6 months.
AOFAS Score
Time frame: At 6 months.
Calcaneal width
Time frame: Preoperative, immediate postoperative, and at 6 months.
Calcaneal height
Time frame: Preoperative, immediate postoperative, and at 6 months.
Calcaneal length
Time frame: Preoperative, immediate postoperative, and at 6 months.
Surgical time
Time frame: intra-operative
3 secondary outcomes
Time to union
Time frame: at radiological evidence of healing, in 6 weeks.
Subtalar Arthritis
Time frame: At 6 months.
Complication Rate
Time frame: At 6 months.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Aug 2025.
- Background1. Rockwood Ca Jr, Greene DP. Rockwood and Green's fractures in adults. 4th ed. Philadelphia: Lippincott-Raven; 1996. p. 2405-62. 2. Mitchell MJ, McKinley JC, Robinson CM. The epidemiology of calcaneal fractures. Foot (Edinb). 2009 Dec;19(4):197-200. doi: 10.1016/j.foot.2009.05.001. PMID: 20307476. 3. Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res. 1993 May;(290):87-95. PMID: 8472475IF: 4.2 Q1. 4. Yeo, J. H., Cho, H. J., & Lee, K. B. (2015). Comparison of two surgical approaches for displaced intra-articular calcaneal fractures: sinus tarsi versus extensile lateral approach. BMC musculoskeletal disorders, 16, 63. https://doi.org/10.1186/s12891-015-0519-0 5. Ibrahim T, Rowsell M, Rennie W, Brown AR, Taylor GJ, Gregg PJ: Displaced intra-articular calcaneal fractures: 15-year follow-up of a randomised controlled trial of conservative versus operative treatment. Injury 2007;38(7):848-855. 6. Gougoulias N, Khanna A, McBride DJ, Maffulli N: Management of calcaneal fractures: Systematic review of randomized trials. Br Med Bull 2009;92:153-167. 7. Swanson SA, Clare MP, Sanders RW: Management of intra-articular fractures of the calcaneus. Foot Ankle Clin 2008;13(4): 659-678. 8. Hsu AR, Anderson RB, Cohen BE. Advances in Surgical Management of Intra-articular Calcaneus Fractures. J Am Acad Orthop Surg. 2015 Jul;23(7):399-407. doi: 10.5435/JAAOS-D-14-00287IF: 2.6 Q1 . PMID: 26111874. 9. Backes, M., Schepers, T., Beerekamp, M. S., Luitse, J. S., Goslings, J. C., & Schep, N. W. (2014). Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach. International orthopaedics, 38(4), 767-773. https://doi.org/10.1007/s00264-013-2181-1 10. Feng, Y., Shui, X., Wang, J. et al. Comparison of percutaneous cannulated screw fixation and calcium sulfate cement gra
- Individual participant dataSharing planned: No. For property rights and privacy protection
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Awab A. Moussa, MD Candidate study director
Faculty of Medicine, Ain shams university, Cario, Egypt.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing percutaneous cannulated screw fixation and Plate fixation in people with Calcaneus Fractures, run by Ain Shams University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 8 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Bohler Angle (time frame: Preoperative, immediate postoperative, and at 6 months.). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07111897, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Aug 2025; AzTrials last refreshed its copy on 6 Nov 2026.