Prospective Cohort Study Comparing Functional Recovery Following Orthopedic Wrist Surgery Under Peripheral Nerve Block Versus General Anesthesia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- Functional recovery using the range of motion of all movement of the wrist
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Functional recovery using the range of motion of all movement of the wrist
时间窗: 12 weeks post-surgery
We evaluate the range of motion of all movement of the wrist with a goniometer
Functional recovery using the QuickDASH (Quick Disabilities of Arm, Shoulder and Hand) questionnaire
时间窗: 12 weeks post-surgery
The QuickDASH assess the functional recovery. It consists of 11 questions scored from 1 to 5 (1 = no difficulty to 5 = unable). Higher scores indicate a greater level of disability.
Functional recovery using the PRWE (Patient Rated Wrist Evaluation) Questionnaire
时间窗: 12 weeks post-surgery
The PRWE (Patient Rated Wrist Evaluation) Questionnaire assess the pain and the persistence of functional difficulty in activities of daily living following wrist surgery. It consists of 15 questions, each rated on a scale from 0 to 10. Five questions deal specifically with pain and are rated as 0 (no pain) to 10 (worse pain); 10 questions are on functional recovery, rated from 0 (no difficulty) to 10 (unable to do). Higher scores on the subscales represent greater pain or functional disability.
Functional recovery using the grip strenght
时间窗: 12 weeks post-surgery
We evaluate the grip strength with JAMAR hydraulic hand dynamometer. The participant squeezes the device as hard as they can. We averaged three values on both sides.
次要结局
- Functional recovery at 6 weeks(6 weeks post-operative)
- Pain - 6 weeks(6 weeks post-operative)
- Pain- 2 weeks(2 weeks post-operative)
- Patient satisfaction(2 weeks post-operative)
研究者
Jennifer Héroux
Anesthesiology and CIP resident
Université de Sherbrooke