Comparison of Clinical Outcomes of Distal Radius Fractures Treated Surgically With WALANT and Peripheral Nerve Block
Study Details
Study Description
Brief Summary
WALANT anesthesia technique has been frequently preferred in hand and upper extremity surgery in recent years. WALANT technique; It stands out with its advantages such as lack of pre-operative anesthesia preparation process, reduction in test and examination requests, reduction in unnecessary hospitalizations and high patient satisfaction. There are studies with a high level of evidence showing that the WALANT technique has such advantages in soft tissue and smallmedium bone fracture surgery. In large bone fractures (radius, etc.), surgical treatment is performed with the WALANT technique and positive results have been reported. Although there is a study comparing WALANT and general anesthesia in the surgical treatment of distal radius fractures, there is no study comparing the peripheral nerve block technique.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| WALANT Patients with distal radius fracture who underwent surgical treatment under WALANT. |
Procedure: Open reduction and internal fixation (under WALANT)
Open reduction and internal fixation with volar Henry approach under WALANT.
|
| Peripheral nerve block Patients with distal radius fracture who underwent surgical treatment under peripheral nerve block. |
Procedure: Open reduction and internal fixation (under peripheral nerve block)
Open reduction and internal fixation with volar Henry approach under peripheral nerve block.
|
Outcome Measures
Primary Outcome Measures
- Changes in the patient's pain [Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery]
Visual Analogue Scale (VAS) scale (1 to 10 score. 10 means worst pain possible, 1 is almost no pain) to measure pain level
- Changes in the patient's anxiety [Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery]
State-Trait Anxiety Inventory (STAI-TX) (no anxiety: 1 point, a little anxiety: 2 points, anxious: 3 points, very anxious: 4 points) to measure anxiety
Secondary Outcome Measures
- Number of complications after surgery [Collected at end of follow up (24 months)]
Description of complications regarding surgery or anesthetical technique
- Evolution in postoperative wrist mobility [Baseline, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery]
Flexion, extension, radial and ulnar deviation, pronation and supination using a goniometer (degree)
- Number of patients who need conversion to general anaesthesia due to lack of effectiveness of anaesthetic technique [During surgery (intraoperative)]
Yes or no answer to the question "did the patient need reconversion to general anaesthesia?"
- Description of reason why the patient needed adding some extra anaesthesia if necessary due to lack of effectiveness of the main anaesthetic technique [During surgery (intraoperative)]
Open ended question describing the reason of anaesthesia insufficiency (for instance: pain, anxiety, discomfort, etc)
- Type of anaesthetic technique added to solve the lack of effectiveness of the main anaesthesia [During surgery (intraoperative)]
Open ended question describing the technique used in order to resolve lack of anaesthesia if needed (sedation, extra doses of local anaesthetic, anatomic location of local anaesthetic, doses of local anaesthetic, etc)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients older than 18 years of age
-
Patients who had acute distal radius fracture which underwent surgery
Exclusion Criteria:
-
Patients with open fractures
-
Additional injuries in the same extremity, peripheral vascular disease, and local anesthetic allergy at the time of first admission
-
Patients who are switched to general anesthesia after both techniques
-
Patients who underwent a second surgery on the same extremity due to any complication
-
Patients who had lacked follow-up examination information
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Diskapi Yildirim Beyazit Education and Research Hospital | Ankara | Turkey | 06110 |
Sponsors and Collaborators
- Diskapi Yildirim Beyazit Education and Research Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 109/21