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Related Experiment Video

Updated: Jul 13, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
09:34

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Enhanced Recovery after Distal Radius Fracture Surgery using Combined Short- and Long-Acting Nerve Blocks: a

Sébastien Campion1, Frédéric Le Saché2, Cécile Naudin3

  • 1Anesthesiology and Perioperative Medicine, Hôpital Privé Armand Brillard, Ramsay Santé, Nogent-sur-Marne, France.

Anaesthesia, Critical Care & Pain Medicine
|July 11, 2026
PubMed
Summary

Combining regional anesthesia techniques for distal radius fracture surgery offers faster motor recovery. This approach maintains effective postoperative pain relief, improving patient outcomes in outpatient settings.

Keywords:
Axillary blockDistal radius fractureMotor blockNerve blockPostoperative analgesiaRegional anesthesia

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Area of Science:

  • Orthopedic Surgery
  • Regional Anesthesia
  • Pain Management

Background:

  • Distal radius fractures are common orthopedic injuries.
  • Current regional anesthesia techniques present challenges like prolonged motor block or pain rebound.
  • Optimizing anesthesia for wrist fracture surgery is crucial for patient recovery.

Purpose of the Study:

  • To compare the efficacy of a combined short-acting axillary block with long-acting truncal blocks versus a long-acting axillary block alone.
  • To evaluate postoperative pain management after distal radius fracture surgery.
  • To assess motor block recovery time and pain intensity.

Main Methods:

  • A multicenter, prospective, randomized, open-label, controlled equivalence trial.
  • 150 adult patients undergoing wrist fracture osteosynthesis were randomized into two groups.
  • One group received a long-acting axillary block alone (BAX-Alone), while the other received a short-acting axillary block plus long-acting median and radial nerve blocks (BAX-Asso).

Main Results:

  • Pain scores at motor block resolution were similar between groups (2.18 vs. 2.49).
  • Motor block recovery was significantly shorter in the BAX-Asso group (4 hours) compared to the BAX-Alone group (15 hours).
  • Block success rates, opioid consumption, and severe pain incidence were comparable between the two groups.

Conclusions:

  • Combining short-acting axillary and long-acting truncal blocks provides faster motor recovery after distal radius fracture surgery.
  • This combined approach maintains effective postoperative pain relief.
  • The findings suggest a clinically relevant advantage for outpatient wrist fracture surgery.