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This study aims at determining if there is an association between locoregional anesthesia and postoperative functional recovery for orthopedic surgery to repair a distal radial fracture, as compared to general anesthesia.
All patients undergoing orthopedic wrist surgery under locoregional or general anesthesia at the CIUSSS de l'Estrie-CHUS who meet the selection criteria will be approach to participate in this prospective single-center observational study. Using the visual analog scale and anesthesia scale, the pain and the satisfaction of the patient will be evaluated respectively 2 weeks postoperatively. At the second visit, 6 to 8 weeks postoperatively, the participant will complete the QuickDASH questionnaire to evaluate his functional recovery and the participant's pain will be reassessed with the visual analogue scale. Finally, 12 weeks postoperatively, the wrist-joint range of motion and grip-strength test results will be recorded. The participant will also be asked to complete the QuickDASH and PRWE (Patient-Rated Wrist Evaluation) questionnaires to reevaluate his functional recovery.
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| Measure | Description | Time Frame |
|---|---|---|
| Functional recovery using the QuickDASH (Quick Disabilities of Arm, Shoulder and Hand) questionnaire | The QuickDASH assess the functional recovery. It consists of 11 questions scored from 1 to 5 (1 = no difficulty to 5 = unable). Higher scores indicate a greater level of disability. | 12 weeks post-surgery |
| Functional recovery using the PRWE (Patient Rated Wrist Evaluation) Questionnaire | The PRWE (Patient Rated Wrist Evaluation) Questionnaire assess the pain and the persistence of functional difficulty in activities of daily living following wrist surgery. It consists of 15 questions, each rated on a scale from 0 to 10. Five questions deal specifically with pain and are rated as 0 (no pain) to 10 (worse pain); 10 questions are on functional recovery, rated from 0 (no difficulty) to 10 (unable to do). Higher scores on the subscales represent greater pain or functional disability. | 12 weeks post-surgery |
| Functional recovery using the range of motion of all movement of the wrist | We evaluate the range of motion of all movement of the wrist with a goniometer | 12 weeks post-surgery |
| Functional recovery using the grip strenght | We evaluate the grip strength with JAMAR hydraulic hand dynamometer. The participant squeezes the device as hard as they can. We averaged three values on both sides. | 12 weeks post-surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Pain- 2 weeks | Post-operative pain score on the visual analogue scale. It is a 10 cm line on which the patient indicate their level of pain between 0 cm (no pain) and 10 cm (worst pain of their life). | 2 weeks post-operative |
| Pain - 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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The patient cohort will be composed of all patients undergoing orthopedic wrist surgery under locoregional or general anesthesia at the CIUSSS de l'Estrie-CHUS who meet the selection criteria.
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| Name | Affiliation | Role |
|---|---|---|
| Frédérick D'Aragon | Université de Sherbooke | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CIUSSS de l'estrie- CHUS | Sherbrooke | Quebec | J1H 5H3 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37932649 | Derived | Heroux J, Bessette PO, Bedard S, Lamarche D, Gagnon A, Echave P, Loignon MJ, Patenaude N, Baillargeon JP, D'Aragon F. Functional recovery of wrist surgery with regional versus general anesthesia: a prospective observational study. Can J Anaesth. 2024 Jun;71(6):761-772. doi: 10.1007/s12630-023-02615-y. Epub 2023 Nov 6. | |
| 36964490 |
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Post-operative pain score on the visual analogue scale. It is a 10 cm line on which the patient indicate their level of pain between 0 cm (no pain) and 10 cm (worst pain of their life).
| 6 weeks post-operative |
| Functional recovery at 6 weeks | Functional recovery following an orthopedic surgery under peripheral nerve block versus general anesthesia using the QuickDASH (The Quick Disabilities of Arm, Shoulder and Hand). The questionnaire consists of 11 questions scored from 1 to 5 (1 = no difficulty to 5 = unable). When all the questions are answered, the questionnaire calculate a percentage of disability. Higher scores indicate a greater level of disability. | 6 weeks post-operative |
| Patient satisfaction | Satisfaction score on the visual analogue scale. It is a 10 cm line on which the patient indicate their level of satisfaction between 0 cm (not satisfied) and 10 (fully satisfied). | 2 weeks post-operative |
| Heroux J, Bessette PO, Belley-Cote E, Lamarche D, Echave P, Loignon MJ, Patenaude N, Baillargeon JP, D'Aragon F. Functional recovery with peripheral nerve block versus general anesthesia for upper limb surgery: a systematic review. BMC Anesthesiol. 2023 Mar 24;23(1):91. doi: 10.1186/s12871-023-02038-8. |