Journal of orthopaedic trauma · 2012
Regional anesthesia improves outcome after distal radius fracture fixation over general anesthesia.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Egol Kenneth A, Soojian Michael G, Walsh Michael, Katz Jonathan, Rosenberg Andrew D, Paksima Nader
Аннотация
OBJECTIVE: To compare the efficacy of anesthetic type on clinical outcomes after operative treatment of distal radius fractures.
DESIGN: Retrospective review of prospectively collected data.
SETTING: Academic medical center.
PATIENTS: One hundred eighty-seven patients with a distal radius fracture (OTA type 23) were identified within a registry of 600 patients.
INTERVENTION: Patients with operative distal radius fractures underwent open reduction and internal fixation with a volarly applied plate and screws under regional or general anesthesia.
MAIN OUTCOME MEASUREMENTS: Clinical, radiographic, and patient-based functional outcomes were recorded at routine postoperative intervals. Complications were recorded.
RESULTS: One hundred eighty-seven patients met inclusion criteria and had a minimum of 1-year follow-up. There were no differences between the groups with regard to patient demographics or fracture types treated. At both 3 and 6 months post surgery, pain was diminished among those patients who received a regional block. Wrist and finger range of motion for patients who received regional versus general anesthesia was improved at all follow-up points. Patients who received regional anesthesia also had higher functional scores as measured by the Disabilities of the Arm, Shoulder and Hand at 3 months (P = 0.04) and 6 months (P = 0.02).
CONCLUSION: Patients who are candidates should be offered regional anesthesia when undergoing repair of a displaced distal radius fracture.
LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
DESIGN: Retrospective review of prospectively collected data.
SETTING: Academic medical center.
PATIENTS: One hundred eighty-seven patients with a distal radius fracture (OTA type 23) were identified within a registry of 600 patients.
INTERVENTION: Patients with operative distal radius fractures underwent open reduction and internal fixation with a volarly applied plate and screws under regional or general anesthesia.
MAIN OUTCOME MEASUREMENTS: Clinical, radiographic, and patient-based functional outcomes were recorded at routine postoperative intervals. Complications were recorded.
RESULTS: One hundred eighty-seven patients met inclusion criteria and had a minimum of 1-year follow-up. There were no differences between the groups with regard to patient demographics or fracture types treated. At both 3 and 6 months post surgery, pain was diminished among those patients who received a regional block. Wrist and finger range of motion for patients who received regional versus general anesthesia was improved at all follow-up points. Patients who received regional anesthesia also had higher functional scores as measured by the Disabilities of the Arm, Shoulder and Hand at 3 months (P = 0.04) and 6 months (P = 0.02).
CONCLUSION: Patients who are candidates should be offered regional anesthesia when undergoing repair of a displaced distal radius fracture.
LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.