Wrist Fractures Management With Arthroscopic Assistance Under Walant - Exploratory Study
GCS Ramsay Santé pour l'Enseignement et la Recherche
12 participants
Nov 6, 2024
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
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
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
Intervention will combine WALANT anesthesia with arthroscopy to reduce a joint fracture of the wrist
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06379555