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IRCT2016051327872N1 IRCT 2017-07-17 Mashhad University of Medical Sciences Comparison of two surgical techniques for treatment of calcaneal fracture. Comparison between conventional and minimally invasive technique for treatment of calcaneal fracture. 2017-07-23 anticipated 36 Complete https://irct.ir/trial/22743 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment. N/A Calcaneos fracture. Intervention 1: In the intervention group calcaneal fracture will operate through the minimally invasive approach by using a 3 centimeter incision on sinus tarsi. After exposing the articular surface by removing the adipose tissue and retracting the extensor digitorum brevis muscle, reduction of the fracture will done and primarilly fixed by a pin and then by a screw the the fracture will finally fix with a small plate. Intervention 2: In the control group the surgery will perform using a large L type incision on the lateral aspect of the ankle and soft tissues including peroneal tendons will subperiosteally retract anteriorly the fracture and articular surface will expose and the reduction of the articular surface will be obtained and fixed by a screw and then fracture will fix with a large calcaneal plate.
public Dr Sayyed Hadi Sayyed Hosseinian
Shahid kamyab hospital, Fadayian eslam street, Mashhad, Iran
Mashhad Iran (Islamic Republic of) +98 51 3859 6606 hoseinianh@mums.ac.ir Mashhad University of Medical Sciences scientific Dr Sayyed Hadi Sayyed Hosseinian
Shahid kamyab hospital
Mashhad Iran (Islamic Republic of) +98 51 3859 6606 hoseinianh@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Inclusion critaria: calcaneal close fracture; age more tha 18 years and less than 75 years , exclusion critaria: open calcaneal fracture; no indication for surgical treatment; uncontrolled systemic diseases; simultanous foot fracture 17 years 74 years Both S92.0 Fracture of calcaneus Treatment - Surgery Treatment - Surgery In the intervention group calcaneal fracture will operate through the minimally invasive approach by using a 3 centimeter incision on sinus tarsi. After exposing the articular surface by removing the adipose tissue and retracting the extensor digitorum brevis muscle, reduction of the fracture will done and primarilly fixed by a pin and then by a screw the the fracture will finally fix with a small plate. In the control group the surgery will perform using a large L type incision on the lateral aspect of the ankle and soft tissues including peroneal tendons will subperiosteally retract anteriorly the fracture and articular surface will expose and the reduction of the articular surface will be obtained and fixed by a screw and then fracture will fix with a large calcaneal plate. AOFAS score. Timepoint: 6 months and one year later. Method of measurement: Filling the questionaire. Wound dehiscence. Timepoint: During three weeks after the surgery. Method of measurement: Visit the surgical wound. Wound infection. Timepoint: During 3 weeks after the surgery. Method of measurement: Purulent discharge and culture of discharge. VAS scorer. Timepoint: 6 months and one year after the surgery. Method of measurement: Filling the questionaire. SF36. Timepoint: 6 months and one year after the surgery. Method of measurement: Filling the questionaire. Accuracy of reduction. Timepoint: The day after surgery and one year later. Method of measurement: Measurement of the Bohler's and Gissane angles on lateral radiograph and articular surface reduction on coronal CT scan of the ankle. Non-union. Timepoint: 6 months and one year after the surgery. Method of measurement: On the plain radiographs and CT scan of the ankle. Malunion. Timepoint: 6 months and one year after the surgery. Method of measurement: Using plane radiographs and CT scan of the ankle. Mashhad University of Medical Sciences Approved 2017-05-22 Mashhad University of Medical Sciences, Research Deputy, Commitee of Ethics Ghoreshi building, Daneshgah street, Mashhad, Iran Mashhad Iran (Islamic Republic of)