Pain medicine

Enhanced recovery after distal radius fracture surgery using combined short- and long-acting nerve blocks: A randomized controlled trial

Anaesth Crit Care Pain MedPublished Randomised 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

OutcomeP value
Block success rateComparableP = 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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