Wide Awake Surgery for Tendon Repair in Hand Trauma

Study Overview
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Brief Summary
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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
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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.

Official Title
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Principal Investigator

Conditions
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Tendon Injury - Hand

Intervention / Treatment
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* Procedure: Wide awake surgery
* Procedure: General anaesthesia


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients of either gender of age 15 years or above. All of the patients with hand injuries with tendon repair required, operated within the hospital premises Exclusion Criteria: Patients allergic to agents of local anesthesia. Patients with anxiety symptoms Patients with mental disorders rendering them unable to comprehend and follow intraoperative commands. Patients with associated nerve injuries. Patients requiring bone fixation or with other complex injuries and with soft tissue loss requiring coverage. Patients with massive contamination, crush injuries or infection which needs to be addressed and treated prior to definitive repair.

Ages Eligible for Study
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Minimum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Wide awake surgery<br>Wide awake local anaesthesia was used as mode of aneasthesia for tendon repair surgery. Functional outcome of in terms of active range of motion was calculated via Strickland method and American Society for the surgery of the hand criteria at sixth week of surgery using goniometer | Procedure: Wide awake surgery<br>* 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.<br>|
| Active Comparator: General anaesthesia<br>Tendon repair surgeries were performed under general anaesthesia. Functional outcome of in terms of active range of motion was calculated via Strickland method and American Society for the surgery of the hand criteria at sixth week of surgery using goniometer | Procedure: General anaesthesia<br>* Tendon repair performed under general anaesthesia using modified Kessler repair.Outcomes of surgery assesed at sixth post operative week<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| active range of motion | active range of motion assesd by strickland and American Society for surgery criteria | six weeks |