Clinical trial NCT05832021: Comparison of Clinical Outcomes of Distal Radius Fractures Treated Surgically With WALANT and Peripheral Nerve Block
Official title: Comparison of Patients With Distal Radius Fracture Who Underwent Surgery With WALANT Technique or Peripheral Nerve Block Anesthesia Methods in Terms of Patient Satisfaction and Functional Results in the Postoperative Period
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Distal Radius Fracture
Keywords: WALANT
Distal Radius Fracture
Peripheral nerve block
Lead sponsor: Diskapi Yildirim Beyazit Education and Research Hospital
Sponsor class: OTHER_GOV
First posted: 2023-04-27
Enrollment: 48
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: A total of 50 patients are planned to be included in the study.

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.


Eligibility criteria: 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

Primary outcomes:
measure: Changes in the patient's pain
timeFrame: Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery
measure: Changes in the patient's anxiety
timeFrame: Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery
Secondary outcomes:
measure: Number of complications after surgery
timeFrame: Collected at end of follow up (24 months)
measure: Evolution in postoperative wrist mobility
timeFrame: Baseline, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery
measure: Number of patients who need conversion to general anaesthesia due to lack of effectiveness of anaesthetic technique
timeFrame: During surgery (intraoperative)
measure: Description of reason why the patient needed adding some extra anaesthesia if necessary due to lack of effectiveness of the main anaesthetic technique
timeFrame: During surgery (intraoperative)
measure: Type of anaesthetic technique added to solve the lack of effectiveness of the main anaesthesia
timeFrame: During surgery (intraoperative)
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Diskapi Yildirim Beyazit Education and Research Hospital
Study officials:
References: