Wide Awake Surgery for Tendon Repair in Hand Trauma

Dow University of Health Sciences130 enrolled

Overview

Wide awake surgery for tendon repair in hand trauma To compare the functional outecomes in terms of active range of motion for tendon repair surgeries performed under wide awake anaesthesia versus general anaesthesia.

All patients aged 15 or above with hand trauma resulting in tendon injuries were included.65 patients undergoing tendon repair in wide awake anaesthesia were grouped as approach arm and another 65 patients of general anaesthesia group were kept as control arm.Range of motion of corresponding tendons were measured at completion of sixth postoperative week using goniometer.Total active range of motion were calculated according to criteria given by Strickland method and American Society for Surgery ofthe Hand (ASSH). Functional outcomes were compared among two groups.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

130

Conditions

Tendon Injury - Hand

Interventions

Wide awake surgeryPROCEDURE

Wide awake local anaesthesia was used to perform tendon repair surgeries.Local anaesthetic injections given using 27 gauze needle in subcutaneous tissue plane.Tendon repair performed using modified Kessler repair.Outcome of surgery assesed at sixth postoprative week.

General anaesthesiaPROCEDURE

Tendon repair performed under general anaesthesia using modified Kessler repair.Outcomes of surgery assesed at sixth post operative week

Eligibility

Sex: ALLMin age: 15 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients of either gender of age 15 years or above. 2. All of the patients with hand injuries with tendon repair required, operated within the hospital premises Exclusion Criteria: 1. Patients allergic to agents of local anesthesia. 2. Patients with anxiety symptoms 3. Patients with mental disorders rendering them unable to comprehend and follow intraoperative commands. 4. Patients with associated nerve injuries. 5. Patients requiring bone fixation or with other complex injuries and with soft tissue loss requiring coverage. 6. Patients with massive contamination, crush injuries or infection which needs to be addressed and treated prior to definitive repair.

Locations (1)

Saba Kiran

Karachi, Sindh, Pakistan

Outcomes

Primary Outcomes

active range of motion

active range of motion assesd by strickland and American Society for surgery criteria

Time frame: six weeks

Data from ClinicalTrials.gov

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