Enhanced recovery after distal radius fracture surgery using combined short- and long-acting nerve blocks: A randomized controlled trial
Authors' conclusion
Combining a short-acting axillary block with long-acting truncal blocks at the elbow achieves significantly faster motor recovery, while maintaining the quality of postoperative pain relief
Study context
- Population
- Adults scheduled for wrist fracture osteosynthesis, 7 secondary care centres in France128 analysed
- Participants
- 150 adults
- Comparison
- BAX-Alone vs BAX-Asso
- BAX-Alonen = 62reference
- BAX-Asson = 66
- Primary endpoint
- Pain intensity at motor block resolution (NRS 0-10)
- Follow-up
- Motor block resolution
Methodological detailsmulticentre, prospective, open-label, parallel-group, equivalence
- Multicentre
- Prospective
- Open-label
- Parallel-group
- Equivalence
Primary result
As reported in the abstract
- Pain scores similar; equivalence not formally concluded
- Equivalence trial; equivalence was not formally concluded
- 128 analysed
Further findings
Motor block recovery · significantly shorter in BAX-Asso
P < 0.001
| Outcome | P value |
|---|---|
| Block success rateComparable | P = 0.08 |
Opioid consumption and severe pain incidence
- No difference in opioid consumption or severe pain incidence
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Enhanced recovery after distal radius fracture surgery using combined short- and long-acting nerve blocks: A randomized controlled trial. Anaesth Crit Care Pain Med. Published 11 July 2026. doi:10. 1016/ j. accpm. 2026. 101891
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