Wide-Awake Local Anesthesia vs. Regional/General Anesthesia for Flexor Tendon Repair

Launched by UNIVERSITY OF WESTERN ONTARIO, CANADA · Apr 25, 2017

Keywords

ClinConnect Summary

This clinical trial is looking at two different ways to perform surgery on the hand for patients with tendon injuries, specifically flexor tendon repairs. One method is called "wide-awake local anesthesia," where patients are fully awake and can move their fingers during the surgery. This allows the surgeon to check the tendon repair in real-time. The other method typically involves general or regional anesthesia, where patients may be sedated or unable to move their arms. The goal of the study is to see if patients who have surgery while awake experience fewer complications, less stiffness, and greater satisfaction compared to those who are under general or regional anesthesia.

To be eligible for this trial, participants need to be over 18 years old and have a complete tendon injury in one or more fingers that is relatively recent. However, certain conditions like infections, severe injuries, or prior complications may exclude individuals from participating. If you join the study, you can expect to be part of an important comparison that could help determine the best approach for tendon repair surgery in the future. It's important to note that the trial is not yet recruiting participants, so there will be further updates when it is ready to begin.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • over the age of 18
• • acute single or multiple digit complete flexor tendon lacerations in zones I or II presenting to attending physicians who agree to participate in the study.
• Exclusion Criteria:
• • gross wound contamination
• • segmental tendon loss
• • associated finger fractures
• • sub-acute or chronic ruptures (ruptures \> 6 weeks old)
• • active or previous infection in the wound bed
• • requirement of delayed repair
• • complex or multisystem injuries
• • multiple digit injuries
• • significant joint injuries
• • amputations (replants)
• • mangled hand injuries.