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Distal radius fracture volar locking plate osteosynthesis using wide-awake local anaesthesia.

J Hand Surg Eur Vol

October 2020

Stroke Research Group department of clinical Neurosciences, University of Cambridge, Cambridge, UK.

Surgical fixation of distal radius fractures under local anaesthesia with the patient wide awake allows an intraoperative testing of the fixation stability under active mobilization. We evaluated the feasibility and clinical results of this technique in 45 patients prospectively in two matched comparable groups: wide-awake local anaesthesia no tourniquet and loco-regional anaesthesia. We found that the pain scores during the anaesthetic administration and the surgical procedure were similar in two groups.

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