Wide Awake Surgery for Tendon Repair in Hand Trauma

Principal Investigator

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04618107

Enrollment

130

Registered

2020-11-05

Start date

2020-01-31

Completion date

2020-09-30

Last updated

2020-11-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tendon Injury - Hand

Brief summary

Wide awake surgery for tendon repair in hand trauma To compare the functional outecomes in terms of active range of motion for tendon repair surgeries performed under wide awake anaesthesia versus general anaesthesia.

Detailed description

All patients aged 15 or above with hand trauma resulting in tendon injuries were included.65 patients undergoing tendon repair in wide awake anaesthesia were grouped as approach arm and another 65 patients of general anaesthesia group were kept as control arm.Range of motion of corresponding tendons were measured at completion of sixth postoperative week using goniometer.Total active range of motion were calculated according to criteria given by Strickland method and American Society for Surgery ofthe Hand (ASSH). Functional outcomes were compared among two groups.

Interventions

PROCEDUREGeneral anaesthesia

Tendon repair performed under general anaesthesia using modified Kessler repair.Outcomes of surgery assesed at sixth post operative week

PROCEDUREWide awake surgery

Wide awake local anaesthesia was used to perform tendon repair surgeries.Local anaesthetic injections given using 27 gauze needle in subcutaneous tissue plane.Tendon repair performed using modified Kessler repair.Outcome of surgery assesed at sixth postoprative week.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

15 Years to No maximum

Healthy volunteers

Inclusion criteria

1. Patients of either gender of age 15 years or above. 2. All of the patients with hand injuries with tendon repair required, operated within the hospital premises

Exclusion criteria

1. Patients allergic to agents of local anesthesia. 2. Patients with anxiety symptoms 3. Patients with mental disorders rendering them unable to comprehend and follow intraoperative commands. 4. Patients with associated nerve injuries. 5. Patients requiring bone fixation or with other complex injuries and with soft tissue loss requiring coverage. 6. Patients with massive contamination, crush injuries or infection which needs to be addressed and treated prior to definitive repair.

Design outcomes

Primary

Measure	Time frame	Description
active range of motion	six weeks	active range of motion assesd by strickland and American Society for surgery criteria

Countries

Pakistan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026