Wide-awake Local Anesthesia versus General Anesthesia for Clavicle Fracture Plating: A Retrospective Study
Background: Plating of clavicle fracture has become a more favorable treatment option since it offers better functional outcome and less likelihood of malunion or nonunion. Currently, the plating of the clavicle fractured under wide-awake local anesthesia (WALA) had been reported, yet it lacked comp...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-02-01
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| Series: | Formosan Journal of Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/fjmd.FJMD-D-23-00023 |
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| Summary: | Background:
Plating of clavicle fracture has become a more favorable treatment option since it offers better functional outcome and less likelihood of malunion or nonunion. Currently, the plating of the clavicle fractured under wide-awake local anesthesia (WALA) had been reported, yet it lacked comparison with that under traditional general anesthesia (GA).
Objectives:
The purpose of this study was to compare the clinical outcome between WALA and GA for plating of mid-third clavicle fracture.
Materials and Methods:
A retrospective study was conducted on 61 patients with mid-third clavicle treated by surgical plating at the senior author’s hospital from January 2020 to December 2020, and the patient cohort was divided into group WALA (n = 21) and group GA (n = 40). We recorded patient demographic data and clinical results for the following comparison between group WALA and group GA.
Results:
The median age of the patient in group WALA was 52 (23.5) years old, while group GA was 53 (40.3) years old. The median surgical time in group WALA was 74.0 (13.5) minutes and in group GA was 64.5 (12.0) min (P < 0.05). The median time to bone healing was 12 (2.0) weeks in group WALA and 12 (2.0) weeks in group GA. The median Disability of the Arm, Shoulder, and Hand score at the final follow-up was 3.3 (2.5) in group WALA and 3.75 (1.7) in group GA. For comparison of postoperative pain degree and total requested morphine dosage, there was no statistical difference between the groups at any follow-up. However, the differences were found in pain degree at postoperative day 1/week 1 and total requested morphine dosage if the patients were limited to concomitant rib fracture.
Conclusions:
WALA for surgical plating of mid-shaft clavicle fracture provides noninferior clinical results as GA in terms of bone healing and functional outcome. |
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| ISSN: | 2210-7940 2210-7959 |