Heel fracture surgery showdown: does fusing the joint early lead to better recovery?

NCT ID NCT06249126

First seen Jun 27, 2026 · Last updated Jul 09, 2026 · Updated 2 times

Summary

This study compares two surgeries for severe heel fractures: standard repair with plates and screws versus standard repair plus a subtalar joint fusion. The goal is to see which approach leads to better pain relief, function, and return to work. About 218 adults with severe heel fractures will be randomly assigned to one of the two procedures and followed for a year.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Surgery (joint fusion or standard repair with plates and screws)
What this could lead to
If successful, this could show that adding a joint fusion during initial heel fracture repair leads to better long-term function and less pain, helping patients return to work sooner.
What could go wrong
This is a relatively small, early-stage trial. Surgery always carries risks like infection or hardware problems, and the fusion may limit ankle motion. Results may not apply to all fracture types.

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Atrium Health Cabarrus

    RECRUITING

    Concord, North Carolina, 28025, United States

  • Atrium Health Carolinas Medical Center

    RECRUITING

    Charlotte, North Carolina, 28203, United States

  • Atrium Health Navicent

    RECRUITING

    Macon, Georgia, 31201, United States

  • Atrium Health Wake Forest Baptist

    NOT_YET_RECRUITING

    Winston-Salem, North Carolina, 27157, United States

  • Emory University, Grady Memorial Research Hospital

    RECRUITING

    Atlanta, Georgia, 30303, United States

  • Jamaica Hospital Medical Center

    NOT_YET_RECRUITING

    Jamaica, New York, 11418, United States

  • Louisiana State University - University Medical Center New Orleans

    NOT_YET_RECRUITING

    New Orleans, Louisiana, 70112, United States

  • NYC Health and Hospital/Bellevue

    NOT_YET_RECRUITING

    New York, New York, 10016, United States

  • OrthoCarolina Foot and Ankle Institute

    RECRUITING

    Charlotte, North Carolina, 28204, United States

  • Prisma Health

    RECRUITING

    Greenville, South Carolina, 29605, United States

  • The University of Chicago

    NOT_YET_RECRUITING

    Chicago, Illinois, 60637, United States

  • The University of Texas Medical Branch

    NOT_YET_RECRUITING

    Galveston, Texas, 77555, United States

  • University of California, Irvine

    RECRUITING

    Orange, California, 92868, United States

  • University of Kentucky

    RECRUITING

    Lexington, Kentucky, 40536, United States

  • University of Maryland Medical Center

    RECRUITING

    Baltimore, Maryland, 21201, United States

  • University of North Carolina Chapel Hill

    RECRUITING

    Chapel Hill, North Carolina, 27546, United States

  • Vanderbilt University Medical Center

    RECRUITING

    Nashville, Tennessee, 37232, United States

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