Abstract | Background: Material and Methods: 88 patients with acute distal radius intra-articular and unstable fractures were randomly assigned to receive preoperative infiltration of the surgical site with a mixture of local anesthetic agents or with saline. We measured the time from the fracture to surgery and intensity of pain at 4, 8, 12, 16, 24, 48 and 72 hours after the release of the tourniquet using a visual analogue scale (VAS). We noted all the side effects and the requirement for intravenous (IV) rescue analgesia. From analysis of chart review of their follow up visits at 2, 6 and 12 weeks we obtained DASH (Disabilities of the Arm, Shoulder and Hand) score, ROM (Range of Motion) of the wrist and grip strength of the hand. Results: The level of postoperative pain measured by the VAS scale decreased significantly during first 24 hours after surgery in the study group in comparison to the placebo group (p<0.05). We observed a positive correlation between the time elapsed between the fracture and surgery and the average VAS score in the study group. Chart review of follow up visits at 2, 6 and 12 weeks revealed significant decreased DASH score at 2 weeks and significant increased wrist flexion and extension at 2 and 6 weeks postoperatively. Six patients from the control and three subjects from the experimental group used rescue analgesia. We did not observe any side effects of the drugs. In one patient from the control group, we noted complex regional pain syndrome in late follow-up. Conclusion:
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Authors | Henryk Liszka, Tomasz Solecki, Artur Gądek |
Journal | Przeglad lekarski
(Przegl Lek)
2016
Vol. 73
Issue 9
Pg. 615-20
ISSN: 0033-2240 [Print] Poland |
PMID | 29688656
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Anesthesia, Local
- Female
- Fracture Fixation, Internal
- Humans
- Male
- Middle Aged
- Open Fracture Reduction
- Pain Measurement
- Pain, Postoperative
(therapy)
- Radius Fractures
(surgery)
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