A Feasibility Study of CT-Guided Osteosynthesis under Local Anesthesia

Area of Science:

• Orthopedic Surgery
• Pain Management
• Radiology

Background:

• Evaluating local anesthesia for perioperative pain management in CT-guided percutaneous osteosynthesis.
• Assessing patient comfort and outcomes for this minimally invasive procedure.

Purpose of the Study:

• To evaluate the efficacy and patient experience of local anesthesia for CT-guided percutaneous osteosynthesis.
• To assess pain control, patient comfort, and quality of life following the procedure.

Main Methods:

• 12 patients underwent percutaneous osteosynthesis under local anesthesia.
• Pain assessed via Numerical Rating Scale (NRS) intraoperatively.
• Patient experience and willingness to repeat assessed post-procedure; quality of life evaluated using EQ5D5L at 1, 3, and 6 months.

Main Results:

• Mean NRS score was 3.4/10; 92% of patients reported a comfortable or highly comfortable experience.
• 75% of patients were willing to repeat the intervention under the same conditions.
• Significant postoperative pain reduction and improved quality of life (pain, mobility, self-activities, autonomy) observed at 3 and 6 months.

Conclusions:

• CT-guided percutaneous osteosynthesis can be effectively performed under local anesthesia.
• The procedure is associated with a comfortable patient experience and improved long-term quality of life.
• Local anesthesia is a viable option for perioperative pain control in this patient group.