Multimodal Pain Management After Wide Awake Local Anesthesia No Tourniquet Orthopedic Hand Surgery: A Randomized Control Trial

NCT ID: NCT06917118

Last Updated: 2025-04-08

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-01

Study Completion Date

2025-12-01

Brief Summary

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The main objective of the study is to measure the efficacy of a multimodal postoperative pain regimen consisting of oral acetaminophen and naproxen compared to a traditional opioid-only pain regimen following elective wide awake local anesthesia no tourniquet (WALANT) hand surgery in a Hispanic population. The study is a randomized control trial comparing the clinical outcomes of patients undergoing elective WALANT hand surgery performed by a board-certified, fellowship-trained orthopedic hand surgeon (Dr. Christian A. Foy).

The study groups are:

* Control group: standard pain control with opioids
* Experimental group: multimodal non-opioid pain control

Study Outcomes are:

* VAS pain scores (7 days),
* Total opioid usage
* Patient satisfaction
* Adverse events

We hypothesize that patients receiving multimodal pain regimens will report lower opioid use, lower pain scores, and greater satisfaction than patients receiving traditional opioid-only pain management.

Detailed Description

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The main objective of the study is to measure the efficacy of a multimodal postoperative pain regimen consisting of oral acetaminophen and naproxen compared to a traditional opioid-only pain regimen following elective wide awake local anesthesia no tourniquet (WALANT) hand surgery in a Hispanic population. The study is a single-blind, single-center randomized control trial comparing the clinical outcomes of patients undergoing elective WALANT hand surgery performed by a board-certified, fellowship-trained orthopedic hand surgeon (Dr. Christian A. Foy). Patients will be consecutively recruited at the center and randomized in a 1:1 ratio into the control and experimental groups. The control group will receive the standard of care for postoperative pain: 10 pills of 5mg oxycodone Q4hrs as needed. The experimental group will receive 30 pills of 500mg acetaminophen Q4hrs and 30 pills of 500mg naproxen Q4hrs until pain resolves or treatment is completed. The experimental group will also receive 5 tablets of 5mg oxycodone to take Q4hrs as needed for breakthrough pain. Postoperatively, daily pain Visual Analog Scale (VAS) scores, total opioid usage, patient satisfaction, and adverse events will be recorded. We hypothesize that patients receiving multimodal pain regimens will report lower opioid use, lower pain scores, and greater satisfaction than patients receiving traditional opioid-only pain management.

Conditions

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Pain Management

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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Standard Postoperative opioid analgesia

10 pills of 5mg oxycodone Q4hrs as needed

Group Type ACTIVE_COMPARATOR

Oxycodone 5mg taken first

Intervention Type DRUG

10 pills of 5mg oxycodone Q4hrs as needed

Postoperative Opioid-sparing Multimodal analgesia

30 pills of 500mg acetaminophen Q4hrs and 30 pills of 500mg naproxen Q4hrs. Will also receive 5 tablets of 5mg oxycodone to take Q4hrs as needed for breakthrough pain

Group Type EXPERIMENTAL

Acetaminophen

Intervention Type DRUG

30 pills of 500mg acetaminophen Q4hrs

Naproxen Tablets, 500 mg

Intervention Type DRUG

30 pills of 500mg naproxen Q4hrs

OxyCODONE 5 mg Oral Tablet

Intervention Type DRUG

Only used for breakthrough pain

Interventions

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Oxycodone 5mg taken first

10 pills of 5mg oxycodone Q4hrs as needed

Intervention Type DRUG

Acetaminophen

30 pills of 500mg acetaminophen Q4hrs

Intervention Type DRUG

Naproxen Tablets, 500 mg

30 pills of 500mg naproxen Q4hrs

Intervention Type DRUG

OxyCODONE 5 mg Oral Tablet

Only used for breakthrough pain

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients 21-70 years of age undergoing outpatient hand surgery
* Patients undergoing surgery with WALANT technique
* Patients who provide written informed consent

Exclusion Criteria

* Patients aged 20 and younger, or 71 and older
* Patient with chronic pain requiring opioid use
* Pregnant patients
* Patients who do not self-identify as Hispanic
* Patients with known allergy to the medication
* Patients with contraindications for the prescribed medications
Minimum Eligible Age

21 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Puerto Rico

OTHER

Sponsor Role lead

Responsible Party

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Daniel Deliz

Dr. Christian A. Foy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christian A. Foy, MD

Role: PRINCIPAL_INVESTIGATOR

University of Puerto Rico Medical Sciences Campus

Locations

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Oncological Hospital

San Juan, PR, Puerto Rico

Site Status

Countries

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Puerto Rico

Central Contacts

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Jose I Acosta Julbe, MD

Role: CONTACT

+1 7873794119

Daniel E. Deliz Jiménez, BSc

Role: CONTACT

+1 7872332369

Facility Contacts

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Jose I Acosta Julbe, MD

Role: primary

+1 7873794119

References

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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Other Identifiers

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2501339638

Identifier Type: -

Identifier Source: org_study_id

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