Ankle Fracture in Need of Surgical Fixation
Conditions
Brief summary
This clinical, randomized, and controlled study will provide valuable scientific evidence regarding the effect of adding peripheral nerve blockades to general anaesthesia during ankle surgery. In particular, the investigators want to determine if the need for postoperative opioids will be reduced and whether this will lead to shorter admission to recovery room and fewer instances of side effects such as postoperative nausea and vomiting. In addition, the investigators will determine whether the functional outcome is improved i.e. faster and more successful rehabilitation. This would have profound benefits not only to the individual patient but also to society by reducing expenses during admission, the cost of sick leave etc.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>18 years * Patients in need of anaesthesia for operative fixation of ankle fractures. * American Society of Anesthesiologists (ASA) score 1-3. * BMI \> 18 og \< 35. * Oral and written consent
Exclusion criteria
* Weight \< 50kg * Allergy towards drugs used in the study * Patients for re-operation * Other fracture at the same time * Pregnancy * Daily use of opioids within two weeks before operation * Infection near the application site * Patients in need of dialysis * Patients with neuropathy in lower extremities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Use of Morphine | 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional rehabilitation outcome | 10-14 weeks | American Orthopaedic Foot and Ankle Society (AOFAS) score |