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
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Distal Radius Fracture
- Sponsor
- Diskapi Yildirim Beyazit Education and Research Hospital
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Changes in the patient's anxiety
- Status
- Completed
- Last Updated
- 3 years ago
Overview
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.
Investigators
Huseyin Bilgehan Cevik
MD, Assoc Prof
Diskapi Yildirim Beyazit Education and Research Hospital
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
Outcomes
Primary Outcomes
Changes in the patient's anxiety
Time Frame: Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery
State-Trait Anxiety Inventory (STAI-TX) (no anxiety: 1 point, a little anxiety: 2 points, anxious: 3 points, very anxious: 4 points) to measure anxiety
Changes in the patient's pain
Time Frame: Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery
Visual Analogue Scale (VAS) scale (1 to 10 score. 10 means worst pain possible, 1 is almost no pain) to measure pain level
Secondary Outcomes
- Number of complications after surgery(Collected at end of follow up (24 months))
- Description of reason why the patient needed adding some extra anaesthesia if necessary due to lack of effectiveness of the main anaesthetic technique(During surgery (intraoperative))
- Evolution in postoperative wrist mobility(Baseline, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery)
- Number of patients who need conversion to general anaesthesia due to lack of effectiveness of anaesthetic technique(During surgery (intraoperative))
- Type of anaesthetic technique added to solve the lack of effectiveness of the main anaesthesia(During surgery (intraoperative))