Regional anesthesia improves outcome after distal radius fracture fixation over general anesthesia.

Abstract:

OBJECTIVE:To compare the efficacy of anesthetic type on clinical outcomes after operative treatment of distal radius fractures. DESIGN:Retrospective review of prospectively collected data. SETTING:Academic medical center. PATIENTS:One hundred eighty-seven patients with a distal radius fracture (OTA type 23) were identified within a registry of 600 patients. INTERVENTION:Patients with operative distal radius fractures underwent open reduction and internal fixation with a volarly applied plate and screws under regional or general anesthesia. MAIN OUTCOME MEASUREMENTS:Clinical, radiographic, and patient-based functional outcomes were recorded at routine postoperative intervals. Complications were recorded. RESULTS:One hundred eighty-seven patients met inclusion criteria and had a minimum of 1-year follow-up. There were no differences between the groups with regard to patient demographics or fracture types treated. At both 3 and 6 months post surgery, pain was diminished among those patients who received a regional block. Wrist and finger range of motion for patients who received regional versus general anesthesia was improved at all follow-up points. Patients who received regional anesthesia also had higher functional scores as measured by the Disabilities of the Arm, Shoulder and Hand at 3 months (P = 0.04) and 6 months (P = 0.02). CONCLUSION:Patients who are candidates should be offered regional anesthesia when undergoing repair of a displaced distal radius fracture. LEVEL OF EVIDENCE:Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

journal_name

J Orthop Trauma

authors

Egol KA,Soojian MG,Walsh M,Katz J,Rosenberg AD,Paksima N

doi

10.1097/BOT.0b013e318238becb

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

545-9

issue

9

eissn

0890-5339

issn

1531-2291

journal_volume

26

pub_type

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