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A randomised trial comparing two different methods of anesthesia prior to reduction of a displaced wrist fracture: Local anesthesia at the fracture side or nerve blocking anesthesia at the elbow.


- candidate number14029
- NTR NumberNTR3719
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR23-nov-2012
- Secondary IDsNL42831.098.12 CCMO
- Public TitleA randomised trial comparing two different methods of anesthesia prior to reduction of a displaced wrist fracture: Local anesthesia at the fracture side or nerve blocking anesthesia at the elbow.
- Scientific TitleA prospective randomized trial comparing the effect of two different methods of anesthesia on the reduction of displaced distal radius fractures: Haematoma block versus regional nerve block at the elbow.
- ACRONYMRegional nerve block at the elbow or haematoma block prior to reduction of displaced distal radius fractures
- hypothesisRegional nerve block at the elbow provides equal analgesia compared to haematoma block during reduction of a displaced distal radius fracture in adults.
- Healt Condition(s) or Problem(s) studiedAnesthesia, Wrist fracture, Displaced distal radius fracture, Regional nerve block, Haematoma block
- Inclusion criteria1. Patients > 18 years old;
2. Displaced distal radius fractures;
3. Closed fractures;
4. Informed consent.
- Exclusion criteria1. Children;
2. Fractures > 7 days old;
3. Open fractures;
4. Bilateral fractures;
5. Poly-trauma patients;
6. Expected noncompliance.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-jun-2013
- planned closingdate1-jun-2014
- Target number of participants38
- InterventionsTwo different methods of anesthesia (no general anesthesia):
1. Haematoma block around the fracture;
2. Regional nerve block at the level of the elbow.
- Primary outcomePain during fracture reduction (VAS score).
- Secondary outcome1. Complications;
2. Secundary re-dislocation.
- TimepointsFollow-up up to one week.
- Trial web siteN/A
- statusplanned
- CONTACT FOR PUBLIC QUERIES J. Keizer
- CONTACT for SCIENTIFIC QUERIES J. Keizer
- Sponsor/Initiator Bronovo Hospital
- Funding
(Source(s) of Monetary or Material Support)
Bronovo hospital
- PublicationsHandoll HHG, Madhok R, Dodds C. Anaesthesia for treating distal radial fracture in adults (Review). The Cochrane Library 2009, Issue 1
- Brief summaryFracture 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.
- Main changes (audit trail)
- RECORD23-nov-2012 - 28-mei-2013


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