Early post-operative pain lower with RA vs GA use in distal radius ORIF

Study Type:Randomized Trial

OE Level Evidence:2

Journal Level of Evidence:1

Regional or General Anesthesia in the Surgical Treatment of Distal Radial Fractures: A Randomized Clinical Trial

J Bone Joint Surg Am. 2019 Jul 3;101(13):1168-1176.

Contributing Authors: J Rundgren C Mellstrand Navarro S Ponzer A Regberg S Serenius A Enocson

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Synopsis

90 Swedish patients presenting with a distal radius fracture undergoing open reduction and internal fixation with a volar locking plate were randomized to regional anesthesia (RA) or general anesthesia (GA). The primary outcome of interest was the total opioid consumption in morphine equivalents (OEC) during the first 3 post-operative days. Secondary outcomes included OEC before and after discharg...