Distal Radius Fracture
Conditions
Keywords
WALANT, Distal Radius Fracture, Peripheral nerve block
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.
Interventions
PROCEDUREOpen reduction and internal fixation (under WALANT)
Open reduction and internal fixation with volar Henry approach under WALANT.
PROCEDUREOpen reduction and internal fixation (under peripheral nerve block)
Open reduction and internal fixation with volar Henry approach under peripheral nerve block.
Sponsors
Diskapi Yildirim Beyazit Education and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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? |
| Number of complications after surgery | Collected at end of follow up (24 months) | Description of complications regarding surgery or anesthetical technique |
| 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) |
| 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) |
| 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) |
Countries
Turkey (Türkiye)
Outcome results
None listed