Posterior Tibial Nerve PRF for Painful Calcaneal Fracture
NCT ID: NCT06888804
Last Updated: 2025-04-11
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
50 participants
INTERVENTIONAL
2025-03-17
2025-12-30
Brief Summary
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Detailed Description
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The tibial nerve plays a crucial role in the sensory and motor innervation of the heel. Following a calcaneal fracture, direct nerve injury, compression, or inflammation of the surrounding tissues may contribute to pain. Pulsed radiofrequency (PRF) has been shown to alleviate chronic pain by delivering an electrical field to the nerve tissue at a controlled temperature of \<42°C without causing nerve damage. Additionally, there is evidence supporting PRF's effectiveness in pain relief for patients with various chronic conditions.
In our study, the investigators aim to evaluate patients with persistent pain after a calcaneal fracture who have undergone PRF treatment of the posterior tibial nerve. By monitoring these patients immediately after the intervention, we will assess changes in their pain scores. Additionally, the investigators will compare them to patients with post-calcaneal fracture pain who have opted not to undergo the procedure.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Posterior Tibial Nerve PRF for Painful Calcaneal Fracture
posterior tibial nerve pulsed radiofrequency for painful calcaneal fracture
ultrasound-guided posterior tibial nerve pulsed radiofrequency
The posterior tibial nerve (PTN) was identified with a 5-12 MHz linear ultrasonography (US) probe at the level of the medial malleolus, where it runs posterior to the posterior tibial artery. Using the in-plane technique, a 22-gauge, 10-cm radiofrequency cannula was inserted under US guidance and advanced until the tip was adjacent to the nerve. Pulse radiofrequency was applied at 42°C for 240 s with a pulse width of 20 ms.
Control
control group for painful calcaneal fracture
Control Group
No intervention
Interventions
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ultrasound-guided posterior tibial nerve pulsed radiofrequency
The posterior tibial nerve (PTN) was identified with a 5-12 MHz linear ultrasonography (US) probe at the level of the medial malleolus, where it runs posterior to the posterior tibial artery. Using the in-plane technique, a 22-gauge, 10-cm radiofrequency cannula was inserted under US guidance and advanced until the tip was adjacent to the nerve. Pulse radiofrequency was applied at 42°C for 240 s with a pulse width of 20 ms.
Control Group
No intervention
Eligibility Criteria
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Inclusion Criteria
* VAS score \>5
* Pain persisting for more than 3 months after the fracture
Exclusion Criteria
* Additional fractures other than the calcaneus
* Pregnancy
* Coagulopathy or use of antiplatelet medications
* Mental illness impairing decision-making ability
18 Years
80 Years
ALL
No
Sponsors
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Diskapi Teaching and Research Hospital
OTHER
Responsible Party
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Damla Yürük
Supervisor Investigator
Principal Investigators
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Gevher Rabia Genc Perdecioğlu
Role: STUDY_CHAIR
Diskapi TRH
Locations
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Diskapi Training and Research Hospital
Ankara, , Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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PTN-RF for calcaneal fracture
Identifier Type: -
Identifier Source: org_study_id
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