Perioperative medicine & outcomes

Functional recovery of wrist surgery with regional versus general anesthesia: a prospective observational study

Can J AnaesthPublished Prospective observational cohort study

Authors' conclusion

Regional anesthesia was not associated with improved functional recovery compared with general anesthesia.

Study context

Population
Adults with a distal radial fracture undergoing orthopedic wrist surgery
Participants
76 adults
Exposure
RA vs GA for distal radial fracture wrist surgery
Outcome
Functional recovery (QuickDASH and PRWE questionnaires, range of motion, grip strength; higher scores worse)
Follow-up
12 weeks post surgery
Methodological detailssingle-centre
  • Single-centre

Main finding

QuickDASH (higher scores worse)

Adjusted mean difference

−0.3

95% CI −9.6 to 9.0

P = 0.9

By group

RA

22.7

GA

19.3

RA vs GA
adjusted mean difference −0.3 (95% CI −9.6 to 9.0); P = 0.9

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeRAGAAdjusted mean difference (95% CI)P value
PRWE (higher scores worse) · 12 weeks post surgery21.020.5−3.3 (−12.1 to 5.6)P = 0.93

Range of motion, satisfaction, postoperative pain

Similar between groups

Right-hand grip strength

Higher in the GA group

Original publication

Functional recovery of wrist surgery with regional versus general anesthesia: a prospective observational study. Can J Anaesth. Published 6 November 2023. doi:10.1007/s12630-023-02615-y

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