The role of bone grafts in displaced intra-articular calcaneal fractures: A prospective study protocol.

Abstract

Background:Whether the bone graft is needed in treating the displaced intra-articular calcaneal fractures (DIACFs) is still controversial. Therefore, in our study, we will explore the results of 2 approaches for the DIACFs surgical treatment.Methods:The present report follows the Consolidated Standards of Reporting Trials (CONSORT) guidelines. All patients will be assigned randomly into 2 different groups through tossing the coins. Three experienced surgeons are assigned randomly to each group to implement the surgeries utilizing any of the surgical approach. Assignments are concealed in a sealed opaque envelope. Patients who meet the following conditions will be included in this experiment:(1)DIACFs (greater than 2 mm) involve Sanders Type IIC, Type IIB as well as some Type III; and(2)surgical treatment can be implemented within 7 days after injury. Some patients with obvious swelling can wait for 2 weeks before operation;(3)patients with closed fracture and;(4)unilateral fracture. In the 2 groups, the patients will follow the standard postoperative protocols.Patients are asked to finish 2 questionnaires, namely, American Orthopaedic Foot and Ankle Society score and short form 36. The ranges of motion of the ankle and the subtalar joint will be also measured. Postoperative complications such as deep infection, wound infection, and wound edge necrosis, the injury of sural nerve, and hematoma are recorded.Results:Our study can provide significant information on the necessity of bone graft in DIACFs internal fixation treatment.Trial registration:This study protocol was registered in Research Registry (researchregistry6246).