Trial reportInternational orthopaedics2014
Prospective randomized trial comparing open reduction and internal fixation with minimally invasive reduction and percutaneous fixation in managing displaced intra-articular calcaneal fractures.
Trial report in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Percutaneous screw osteosynthesis for the treatment of intra-articular displaced calcaneus fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- Cannulated screw fixation versus plate fixation in treating displaced intra-articular calcaneus fractures: a systematic review and meta-analysis.International orthopaedics · 2021Pooled it
- A prospective comparative study between percutaneous cannulated screws and Kirschner wires in treatment of displaced intra-articular calcaneal fractures.International orthopaedics · 2022Trial
- Percutaneous Reduction and Hollow Screw Fixation Versus Open Reduction and Internal Fixation for Treating Displaced Intra-Articular Calcaneal Fractures.Medical science monitor : international medical journal of experimental and clinical research · 2020Trial
- Comparison of percutaneous cannulated screw fixation and calcium sulfate cement grafting versus minimally invasive sinus tarsi approach and plate fixation for displaced intra-articular calcaneal fractures: a prospective randomized controlled trial.BMC musculoskeletal disorders · 2016Trial
- Closed reduction and percutaneous screw fixation with early rehabilitation versus cast immobilization in minimally displaced sanders type II-III calcaneal fractures: a two-center retrospective comparison of treatment protocols.BMC musculoskeletal disorders · 2026Article
- A Mid-Term Result of the Treatment of Intra-Articular Calcaneal Fractures with the Use of Intramedullary Nailing.Journal of clinical medicine · 2025Article
- Early Surgery and Screw-Only Osteosyntheses in Minimally Invasive Treatment of Calcaneal Fractures-Risk or Benefit for Our Patients?Journal of clinical medicine · 2025Article
- RETRACTED: Effect of bone grafting on postoperative wound infection and marginal necrosis in patients with calcane fractures.International wound journal · 2024Article
- Three-dimensional printed cast assisted screw fixation of calcaneal fractures: a prospective study.BMC musculoskeletal disorders · 2023Article
- Outcomes of Early Weight Bearing in Displaced Intra-articular Calcaneus Fractures Treated with Screws-Only Fixation Technique.Indian journal of orthopaedics · 2023Article
- Predictors for wound healing complications and prolonged hospital stay in patients with isolated calcaneal fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Does Sectioning and Then Repairing of the Calcaneofibular Ligament at Subtalar Approach Lead to Residual Lateral Ankle Instability?The archives of bone and joint surgery · 2022Article
- Three-dimensional computed tomography mapping of 136 tongue-type calcaneal fractures from a single centre.Annals of translational medicine · 2021Article
- Surgical experience as a decisive factor for the outcome of calcaneal fractures using locking compression plate: results of 3 years.Archives of orthopaedic and trauma surgery · 2021Article
- Calcaneal fractures: 3D-printing model to assist spatial weaving of percutaneous screws versus conventional open fixation-a retrospective cohort study.International orthopaedics · 2021Article
- Minimally invasive surgery for intra-articular calcaneus fractures: a 9-year, single-center, retrospective study of a standardized technique using a 2-point distractor.BMC musculoskeletal disorders · 2020Article
- Comparing open reduction and internal fixation versus closed reduction using dual-point distraction and percutaneous fixation for treating calcaneal fractures.Joint diseases and related surgery · 2020Article
- Extensile lateral versus sinus tarsi approach for displaced, intra-articular calcaneal fractures: a meta-analysis.Journal of orthopaedic surgery and research · 2018Review
- Minimally invasive reduction and percutaneous fixationEFORT open reviews · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeManaging displaced intra-articular calcaneal fractures remains controversial. A prospective randomised trial was undertaken to compare open reduction and internal fixation (ORIF) with minimally invasive reduction and percutaneous fixation (MIRPF).
methodsForty-five displaced intra-articular calcaneal fractures were randomised to undergo either ORIF (n = 23) or MIRPF (n = 22). Patients were followed up clinically and radiologically for a minimum of one year postoperatively. The primary outcome measure was wound-healing complication. Functional outcome was assessed using Creighton Nebraska Health Foundation (CNF) scale, and radiological outcome was assessed using plain radiographs and computed tomography (CT) scans.
resultsOf the 23 heels in the ORIF group, seven (30%) had wound-healing problems, compared with none in the MIRPF group (p = 0.005). There was no statistically significant difference in radiological outcomes between groups, as measured by Böhler's angle, Gissane's angle and Score Analysis of Verona (SAVE). Median time to return to work was two weeks earlier (p = 0.004), and the functional outcome score (CNF scale) at one year of follow-up was better (p = 0.013) following MIRPF compared with ORIF.
conclusionMIRPF is associated with fewer wound-healing problems, better functional outcome and earlier return to work compared with ORIF.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.