Functional Recovery Following Orthopedic Wrist Surgery Under Peripheral Nerve Block Versus General Anesthesia

NCT ID: NCT04541745

Last Updated: 2023-01-06

Study Results

Results pending

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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Recruitment Status

COMPLETED

Total Enrollment

72 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-08-30

Study Completion Date

2021-12-31

Brief Summary

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This study aims at determining if there is an association between locoregional anesthesia and postoperative functional recovery for orthopedic surgery to repair a distal radial fracture, as compared to general anesthesia.

Detailed Description

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All patients undergoing orthopedic wrist surgery under locoregional or general anesthesia at the CIUSSS de l'Estrie-CHUS who meet the selection criteria will be approach to participate in this prospective single-center observational study. Using the visual analog scale and anesthesia scale, the pain and the satisfaction of the patient will be evaluated respectively 2 weeks postoperatively. At the second visit, 6 to 8 weeks postoperatively, the participant will complete the QuickDASH questionnaire to evaluate his functional recovery and the participant's pain will be reassessed with the visual analogue scale. Finally, 12 weeks postoperatively, the wrist-joint range of motion and grip-strength test results will be recorded. The participant will also be asked to complete the QuickDASH and PRWE (Patient-Rated Wrist Evaluation) questionnaires to reevaluate his functional recovery.

Conditions

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Recovery of Function

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* 18 years old and more
* American Society of Anesthesiologists (ASA) score I, II, or III
* Single distal radial fracture with or without ulna involvement
* Orthopedic surgery by open reduction of the wrist for a distal radial fracture with or without ulnar involvement

Exclusion Criteria

* Active pregnancy
* Surgery with combined anesthesia (locoregional and general)
* Locoregional anesthesia with catheter insertion for postoperative analgesia
* Individuals with chronic pain as defined by preexisting neuropathy of the operated arm, preexisting radiculopathy of the operated limb, complex regional pain syndrome, or fibromyalgia
* Polytrauma
* Inability to consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Université de Sherbrooke

OTHER

Sponsor Role lead

Responsible Party

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Jennifer Héroux

Anesthesiology and CIP resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Frédérick D'Aragon

Role: STUDY_DIRECTOR

Université de Sherbooke

Locations

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CIUSSS de l'estrie- CHUS

Sherbrooke, Quebec, Canada

Site Status

Countries

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Canada

References

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Heroux J, Bessette PO, Bedard S, Lamarche D, Gagnon A, Echave P, Loignon MJ, Patenaude N, Baillargeon JP, D'Aragon F. Functional recovery of wrist surgery with regional versus general anesthesia: a prospective observational study. Can J Anaesth. 2024 Jun;71(6):761-772. doi: 10.1007/s12630-023-02615-y. Epub 2023 Nov 6.

Reference Type DERIVED
PMID: 37932649 (View on PubMed)

Heroux J, Bessette PO, Belley-Cote E, Lamarche D, Echave P, Loignon MJ, Patenaude N, Baillargeon JP, D'Aragon F. Functional recovery with peripheral nerve block versus general anesthesia for upper limb surgery: a systematic review. BMC Anesthesiol. 2023 Mar 24;23(1):91. doi: 10.1186/s12871-023-02038-8.

Reference Type DERIVED
PMID: 36964490 (View on PubMed)

Other Identifiers

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2020-3241

Identifier Type: -

Identifier Source: org_study_id

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