UK heel fracture trial: surgical treatment versus non-operative care
ISRCTN | ISRCTN37188541 |
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DOI | https://doi.org/10.1186/ISRCTN37188541 |
Secondary identifying numbers | 15964 |
- Submission date
- 07/02/2006
- Registration date
- 22/02/2006
- Last edited
- 28/07/2014
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Prof Damian Griffin
Scientific
Scientific
Warwick Medical School
Clinical Sciences Building
Research Wing
Clifford Bridge Road
Coventry
CV2 2DX
United Kingdom
Phone | +44 (0)2476 968618 |
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damian.griffin@warwick.ac.uk |
Study information
Study design | Observer blind randomised controlled trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | Improved functional outcome in heel fracture with surgical treatment versus non-operative care: a randomised controlled trial |
Study objectives | Surgical treatment leads to improved functional outcome compared with non-operative care. Please note that as of 09/02/2009 the trial start and end dates of this record were updated. The initial dates at the time of registration were: Initial anticipated start date: 01/01/2006 initial anticipated end date: 30/06/2010 |
Ethics approval(s) | Oxfordshire REC A, 24/05/2006, ref: 06/Q1604/58 |
Health condition(s) or problem(s) studied | Calcaneal fracture |
Intervention | Intervention: open reduction and internal fixation by extensile lateral approach Control: non-surgical treatment with elevation and ice followed by spintage and early mobilisation |
Intervention type | Other |
Primary outcome measure | The Kerr Calcaneal Fracture Score (a validated, reliable, patient-derived outcome instrument for pain and function following calcaneal fracture, accepted by surgeons working in the area) |
Secondary outcome measures | Amended as of 09/02/2009: Point four has been amended as follows: 4. Gait and foot pressure analysis using F-Scan for gait analysis. This is an in shoe pressure system which also enables objective assessment of various parameters of gait. Initial information at time of registration: 1. Complications, including wound dehiscence, infection, mal-union, non-union and radiographic arthritis 2. General health using the SF-36 questionnaire 3. American Orthopaedic Foot and Ankle Society Hind Foot Score 4. Gait and foot pressure analysis using GAITRite (a simple portable pressure sensitive mat connected to a laptop computer that enables objective assessment of various parameters of gait including walking speed, step length, and dynamic contact pressures) 5. Health status using EQ-5D 6. Resource use will be monitored for the economic analysis. National Health Service (NHS) costs will be collated for each trial arm. Cost-consequences will be monitored via short questionnaires. In addition, average time off work or reduced working hours attributed to the condition in both groups will be recorded. |
Overall study start date | 01/06/2006 |
Completion date | 30/11/2010 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | 150; 75 in each group |
Key inclusion criteria | 1. Closed displaced intra-articular fractures of the calcaneus 2. Aged over 18 years, no upper age limit, either sex |
Key exclusion criteria | Amended as of 09/02/2009: 1. Calcaneal fracture with severe deformity resulting in fibula impingement 2. Previous calcaneal abnormality (infection, tumour or deformity) 3. Other serious injuries to either lower limb that would interfere with rehabilitation of the index calcaneal fracture 4. Peripheral vascular disease (defined as having been investigated or treated for poor lower limb circulation) 5. Other contra-indication to surgery, defined as: 5.1. Severe cardiac impairment, e.g. heart or valve replacement, arrhythmia, previous myocardial infarction 5.2. Severe respiratory impairment, e.g. chronic obstructive pulmonary disease, asthma that has required hospital admission 5.3. Any other systemic medical condition that would produce a specific contraindication to a general anaesthetic 6. Evidence that the patient would be unable to adhere to trial procedures or complete questionnaires, such as dementia or intravenous drug abuse Initial information at time of registration: 1. Diabetes 2. Peripheral vascular disease, or other local or systemic contra-indication to surgery 3. Injury to the ipsilateral leg 4. Very severe deformity with the lateral wall of the calcaneus impinging upon the fibula |
Date of first enrolment | 01/06/2006 |
Date of final enrolment | 30/11/2010 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Warwick Medical School
Coventry
CV2 2DX
United Kingdom
CV2 2DX
United Kingdom
Sponsor information
University Hospitals Coventry and Warwickshire NHS Trust (UK)
Hospital/treatment centre
Hospital/treatment centre
University Hospital
Walsgrave
Coventry
CV2 2DX
England
United Kingdom
Phone | +44 (0)2476 602020 |
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info@uhcw.nhs.uk | |
Website | http://www.uhcw.nhs.uk/ |
https://ror.org/025n38288 |
Funders
Funder type
Charity
Arthritis Research Campaign (ARC) (UK) (ref: 15964)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Results article | results | 24/07/2014 | Yes | No |