Could a Two-Step nerve block improve pain control and recovery after wrist surgery?
NCT ID NCT04046744
First seen Jul 14, 2026 · Last updated Jul 15, 2026 · Updated 1 time
Summary
This study compares two ways of numbing the arm for wrist fracture surgery. One group receives a standard axillary block with a long-lasting anesthetic, while the other gets a short-acting axillary block plus separate long-acting blocks at the elbow for the median and radial nerves. The goal is to see if the combination provides better pain control after surgery and allows faster recovery of elbow movement.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a combination of lidocaine (short-acting) and ropivacaine (long-acting) local anesthetics
- What this could lead to
- If successful, this approach could provide longer-lasting pain relief after wrist surgery while allowing faster recovery of elbow movement.
- What could go wrong
- This is a small, early-stage study focused on pain scores and recovery time, not on major outcomes like complication rates. The results may not apply to all wrist surgeries or patient groups.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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150 people
The number who actually took part.
- Started
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Oct 2019
- Finished
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Sep 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients undergoing wrist fracture surgery under regional anesthesia * Consent for participation * Affiliation to the French social security system Exclusion Criteria: * Chronic use of opiod analgesics * Chronic pain syndrome or fibromyalgia * Contraindication for locoregional anesthesia * Contraindication for opioid * ASA IV * Pregnant or breastfeeding women * Patients under protection of the adults (guardianship, curators or safeguard of justice) * Communication difficulties or neuropsychiatric disorder
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CMC Ambroise Paré
Neuilly-sur-Seine, Île-de-France Region, 92200, France
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Clinique Bizet
Paris, Île-de-France Region, 75016, France
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Clinique Jouvenet
Paris, Île-de-France Region, 75016, France
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Clinique Rémusat
Paris, Île-de-France Region, 75016, France
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Clinique du Pré
Le Mans, Pays de la Loire Region, 72018, France
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Hôpital Privé Armand Brillard
Nogent-sur-Marne, Île-de-France Region, 94130, France
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Hôpital Privé Paul D'Egine
Champigny-sur-Marne, Île-de-France Region, 94500, France
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Other studies related to the condition(s) this trial covers.
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