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

Université de Sherbrooke

Status: Completed

Conditions: Recovery of Function

Study type: Observational

Funder types: Other

Identifiers

NCT04541745

2020-3241

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 72 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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