Postoperative Pain After Volar Plating for Distal Radius Fractures

Status Completed

Clinical Trial Summary

The investigators undertook to evaluate early postoperative pain levels after the volar plating of distal radius fractures performed under regional anesthesia, and to determine whether periarticular multimodal drug injections into the joint, ligament, periosteum, subcutaneous tissue, and skin, and into interosseous and superficial radial nerves (as an additional sensory nerve block) provide additional pain management benefits.

Clinical Trial Description

To evaluate whether periarticular injections (PI) had additional pain management benefits, patients were randomly allocated to two groups, that is, the PI and No-PI groups, using a randomization table. Members in the PI group received intra-operative periarticular injections and additional sensory nerve blocks just before skin closure. For the periarticular injections and additional sensory block, local analgesic solution was injected into the wrist joint, joint capsule, periosteum, subcutaneous tissue, skin, and around the anterior and posterior interosseous nerves and the superficial radial nerve.

A volume of 2ml was injected into the joint capsule and periosteum, and of 3ml into the wrist joint, subcutaneous tissue, skin and into each nerve. The anterior interosseous nerve was blocked in the course of the pronator quadratus and posterior interosseous nerve in the 4th dorsal extensor compartment.

The mixture of anesthetics consisted of 2 ampules of ropivacaine HCl (Naropin®, 0.75%, 7.5mg/ml, 20ml/ⓐ), 1 ampule of morphine sulfate (5mg/ⓐ), 1 ampule of epinephrine HCL (1mg/ml, 1ml/ⓐ) and normal saline 20cc. ;

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT01007565
Study type	Interventional
Source	Seoul National University Hospital
Contact
Status	Completed
Phase	Phase 2
Start date	March 2008
Completion date	April 2009

View Details

See also
Status	Clinical Trial	Phase
Not yet recruiting	`NCT06453447` - Prednisone for CRPS in Distal Radius Fracture	N/A
Recruiting	`NCT06136286` - ORIF Distal Radius Blood Flow Restriction Therapy	N/A
Not yet recruiting	`NCT06078371` - Opioid-Free Pain Treatment in Trauma Patients	N/A
Not yet recruiting	`NCT05902442` - A Clinical Comparison of Patient-specific 3D Printed Splints Versus Conventional Splints in the Treatment of Distal Radius Fractures.	N/A
Completed	`NCT02990052` - Conservative Treatment vs. Volar Plating of Distal Radius Fractures	N/A
Withdrawn	`NCT00788190` - Treatment of Distal Radius Fractures in Elderly Patients	N/A
Completed	`NCT06343467` - Do Generic Volar Locking Plates Provide Similar Outcomes at a Reduced Cost?	N/A
Recruiting	`NCT06046404` - Refraining From Closed Reduction of Dislocated Distal Radius Fractures in the Emergency Department	N/A
Not yet recruiting	`NCT06251206` - Impact of Early ADL Education on Outcomes Post DRF ORIF	Phase 1
Completed	`NCT00654615` - Fixation of Unstable Distal Radius Fractures	N/A
Completed	`NCT01937624` - Pediatric Distal Radius US Study
Terminated	`NCT01859468` - A Study Comparing the Effect of Amorphous Calcium Carbonate (ACC) on Healing Time of Distal Radius Fractures	Phase 1/Phase 2
Completed	`NCT01103297` - 2.4 mm Variable Angle LCP Two-Column Volar Distal Radius	Phase 4
Completed	`NCT05942950` - Predicting Outcomes of Distal Radius Fractures: a Surgeon Survey
Completed	`NCT06215872` - Effectiveness of Structured Myofacial Chain Exercises After Distal Radius Fracture	N/A
Suspended	`NCT01693094` - A Randomized Trial Measuring the Effect of Decision Aids on Patients' Satisfaction, Conflict of Decision-making and Clinical Outcome	N/A
Not yet recruiting	`NCT06235957` - Three Weeks of Cast Immobilisation Versus One Week of Brace Immobilisation in Distal Radius Fractures	N/A
Recruiting	`NCT06019585` - Inmobilization With Compression Bandage vs Antebraquial Splint in Distal Radius Fractures	N/A
Terminated	`NCT02802774` - Immobilization of Postoperative Distal Radius Fractures	N/A
Enrolling by invitation	`NCT05086224` - Hematoma Block Versus Bier Block for Closed Fracture Reduction	Early Phase 1