Comparison of Clinical Outcomes of Distal Radius Fractures Treated Surgically With WALANT and Peripheral Nerve Block

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

48 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-04-19

Study Completion Date

2022-05-20

Brief Summary

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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.

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Detailed Description

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Conditions

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Distal Radius Fracture

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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WALANT

Patients with distal radius fracture who underwent surgical treatment under WALANT.

Open reduction and internal fixation (under WALANT)

Intervention Type PROCEDURE

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.

Open reduction and internal fixation (under peripheral nerve block)

Intervention Type PROCEDURE

Open reduction and internal fixation with volar Henry approach under peripheral nerve block.

Interventions

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Open reduction and internal fixation (under WALANT)

Open reduction and internal fixation with volar Henry approach under WALANT.

Intervention Type PROCEDURE

Open reduction and internal fixation (under peripheral nerve block)

Open reduction and internal fixation with volar Henry approach under peripheral nerve block.

Intervention Type PROCEDURE

Eligibility Criteria

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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

Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No