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.
Study Type
OBSERVATIONAL
Enrollment
48
Open reduction and internal fixation with volar Henry approach under WALANT.
Open reduction and internal fixation with volar Henry approach under peripheral nerve block.
Diskapi Yildirim Beyazit Education and Research Hospital
Ankara, Turkey (Türkiye)
Changes in the patient's pain
Visual Analogue Scale (VAS) scale (1 to 10 score. 10 means worst pain possible, 1 is almost no pain) to measure pain level
Time frame: Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery
Changes in the patient's anxiety
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
Time frame: Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery
Number of complications after surgery
Description of complications regarding surgery or anesthetical technique
Time frame: Collected at end of follow up (24 months)
Evolution in postoperative wrist mobility
Flexion, extension, radial and ulnar deviation, pronation and supination using a goniometer (degree)
Time frame: 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
Yes or no answer to the question "did the patient need reconversion to general anaesthesia?"
Time frame: During surgery (intraoperative)
Description of reason why the patient needed adding some extra anaesthesia if necessary due to lack of effectiveness of the main anaesthetic technique
Open ended question describing the reason of anaesthesia insufficiency (for instance: pain, anxiety, discomfort, etc)
Time frame: During surgery (intraoperative)
Type of anaesthetic technique added to solve the lack of effectiveness of the main anaesthesia
Open ended question describing the technique used in order to resolve lack of anaesthesia if needed (sedation, extra doses of local anaesthetic, anatomic location of local anaesthetic, doses of local anaesthetic, etc)
Time frame: During surgery (intraoperative)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.