Regional Anesthesia Improves Outcome After Distal Radius Fracture Fixation Over General Anesthesia

被引:56
|
作者
Egol, Kenneth A.
Soojian, Michael G. [1 ]
Walsh, Michael
Katz, Jonathan [2 ]
Rosenberg, Andrew D.
Paksima, Nader
机构
[1] SUNY Downstate Med Sch, New York, NY USA
[2] Beth Israel Deaconess Med Ctr, New York, NY 10003 USA
关键词
distal radius; fracture; regional anesthesia; block; outcome; HIP FRACTURE; MOBILIZATION; RELIABILITY;
D O I
10.1097/BOT.0b013e318238becb
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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.
引用
收藏
页码:545 / 549
页数:5
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