Regional nerve block at the elbow provides equal analgesia compared to haematoma block during reduction of a displaced distal radius fracture in adults.
ID
Bron
Verkorte titel
Aandoening
Displaced distal radius fracture; wrist fracture; haematoma block; regional nerve block; anesthesia; manipulation.
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Pain during fracture reduction (VAS score).
Achtergrond van het onderzoek
Fracture of the distal radius is a common clinical problem, particularly in older white women with osteoporosis. For patients with a displaced distal radius fracture, fracture reduction is the first step in management of these injuries. Anaesthesia is usually provided during reduction of displaced fractures; different methods of anesthesia are used in clinical practice. Current literature offers no strong evidence to support either of the different techniques (general anesthesia excluded) in providing best analgesia during fracture reduction. We think that regional nerve block at the elbow provides equal or better analgesia compared to haematoma block anesthesia.
Doel van het onderzoek
Regional nerve block at the elbow provides equal analgesia compared to haematoma block during reduction of a displaced distal radius fracture in adults.
Onderzoeksopzet
Follow-up up to one week.
Onderzoeksproduct en/of interventie
Two different methods of anesthesia (no general anesthesia):
1. Haematoma block around the fracture;
2. Regional nerve block at the level of the elbow.
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. Patients > 18 years old;
2. Displaced distal radius fractures;
3. Closed fractures;
4. Informed consent.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Children;
2. Fractures > 7 days old;
3. Open fractures;
4. Bilateral fractures;
5. Poly-trauma patients;
6. Expected noncompliance.
Opzet
Deelname
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In overige registers
Register | ID |
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NTR-new | NL3562 |
NTR-old | NTR3719 |
CCMO | NL42831.098.12 |
ISRCTN | ISRCTN wordt niet meer aangevraagd. |
OMON | NL-OMON44947 |