RecruitingNot ApplicableNCT06379555

Wrist Fractures Management With Arthroscopic Assistance Under Walant - Exploratory Study


Sponsor

GCS Ramsay Santé pour l'Enseignement et la Recherche

Enrollment

12 participants

Start Date

Nov 6, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Wrist articular fractures are more difficult to treat and rehabilitation takes longer. Furthermore, these joint fractures are frequently accompanied by ligament lesions of the carpal bones. For these reasons, it is strongly recommended to check the interior of the wrist joint. This check can be done with wrist arthroscopy. Therefore, fracture reduction can be improved, "step of stairs" can be eliminated under arthroscopic control and ligament rupture of carpal bones can be treated. WALANT anesthesia (Wide Awake Local Anesthesia No Tourniquet) designates a new local anesthesia technique. This technique which allows to maintain the arm or fingers mobility offers several significant advantages: * Greater precision of the surgical procedure. * A reduction in discomfort, risks and related adverse effects to anesthesia. * Faster recovery. WALANT technique is very comfortable for patient and fits perfectly with principles of Enhanced Recovery in Surgery. In this context, this study is based on the hypothesis that it is possible to combine arthroscopy and the WALANT anesthesia technique for reducing wrist fractures


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria5

  • Patient, male or female, aged ≥ 18 and \< 70 years
  • Patient with a displaced articular fracture of the distal radius (unilateral wrist fracture)
  • Patient treated on ambulatory way
  • Patient affiliated to or beneficiary of a social security system
  • French speaking patient, having signed informed consent

Exclusion Criteria6

  • Patient with previous infection or wrist bone surgery
  • Patient with multiple fractures or with bilateral wrist fractures
  • Patient with associated fracture with the wrist fracture
  • Patient with "pathological" bone
  • Protected patient: adult under guardianship, curatorship or other protection legal, deprived of liberty by judicial or administrative decision
  • Patient hospitalized without consent

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Interventions

PROCEDUREWalanpoigne

Intervention will combine WALANT anesthesia with arthroscopy to reduce a joint fracture of the wrist


Locations(1)

Clinique Les Franciscaines (Hôpital privé de Versailles)

Versailles, France

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NCT06379555


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