Closed Reduction versus Open reduction and internal fixation versus Non-Operative Study of intra-articular calcaneal fractures

ISRCTN ISRCTN67665340
DOI https://doi.org/10.1186/ISRCTN67665340
Protocol serial number NL637, NTR697
Sponsor Erasmus Medical Center, Department of Surgery (The Netherlands)
Funder International Association for Dynamic Osteosynthesis (Association Internationale pour L'Ostéosynthèse Dynamique) (A.I.O.D.)
Submission date
21/07/2006
Registration date
21/07/2006
Last edited
08/01/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr T. Schepers
Scientific

University Medical Center Rotterdam
Department of General Surgery and Traumatology
Room-303
PO Box 2040
Rotterdam
3000 CA
Netherlands

Email T.Schepers@erasmusmc.nl

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Scientific titleClosed Reduction versus Open reduction and internal fixation versus Non-Operative Study of intra-articular calcaneal fractures
Study acronymCRONOS
Study objectivesPercutaneous, open reduction and internal fixation (ORIF) and conservative treatment of displaced intra-articular calcaneal fractures have a similar outcome as measured with the American Orthopaedic Foot and Ankle Society (AOFAS ) score.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedDisplaced intra-articular calcaneal fractures (Sanders type II-IV)
InterventionPatients will be randomised into one of the following groups:
1. The percutaneous, distraction, technique according to Forgon and Zadravecz
2. Open reduction and internal fixation via a lateral approach
3. Conservative treatment
Intervention typeOther
Primary outcome measure(s)

The primary outcome measure is the American Orthopaedic Foot and Ankle Society (AOFAS) score

Key secondary outcome measure(s)

1. Number of complications (infectious, osseous and osteosynthetic)
2. Return to work
3. Patient satisfaction (visual analogue scale [VAS])
4. Quality of life (short-form 36 questionnaire [SF36])
5. The need for a secondary arthrodesis

Completion date01/07/2013

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit70 Years
SexAll
Target sample size at registration150
Total final enrolment169
Key inclusion criteria1. All patients with a displaced intra-articular calcaneal fracture
2. Between 18 and 70 years old
3. Compos mentis
4. Living in the Netherlands
5. Giving informed consent
Key exclusion criteria1. A fracture older than 14 days
2. Grade III open fractures (Gustilo)
3. Patients with chronic substance abuse
4. Homeless
5. Non-ambulant patients
6. American Society of Anesthesiologists (ASA) IV-V
7. Partcipation in another study
Date of first enrolment01/07/2006
Date of final enrolment01/07/2013

Locations

Countries of recruitment

  • Netherlands

Study participating centre

University Medical Center Rotterdam
Rotterdam
3000 CA
Netherlands

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2014 08/01/2021 Yes No
Study website Study website 11/11/2025 11/11/2025 No Yes

Editorial Notes

08/01/2021: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.
3. The NTR numbers have been added.