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

NCT ID NCT06249126

Disease control Sponsor: Wake Forest University Health Sciences Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 218 people

The number the study aims to enrol. It can still change while the study runs.

Started

Sep 2024

Expected to finish

Dec 2026

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Undergoing operative treatment for displaced intra-articular calcaneus fracture * Sanders III and IV displaced intra-articular calcaneus fracture OR Sanders II with any of the following criteria: Bohler angle \< 0 degrees, open fracture, pain syndrome, substance use disorder * Age 18 or older * Able to follow up at site for 1 year Exclusion Criteria: * Planned surgery using extensile lateral approach * Sanders II displaced intra-articular calcaneus fracture without: Bohler angle \< 0 degrees, open fracture, pain syndrome, or substance * \<18 years of age * Body Mass Index (BMI) \>40 * Unable to follow up at site for 1 year * Patients that speak neither English or Spanish * Prisoner

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As listed by the trial registrant

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

Calcaneus fracture

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    17 sites. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

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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