RECRUITING

Regional Blocks for Lateral Condyle Fractures

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The purpose of this study is to investigate the post-operative pain control in pediatric patients with closed lateral condyle fractures who undergo open reduction and percutaneous pinning. Patients will be randomized into one of two groups. Group 1 will receive an infraclavicular nerve block to the affected extremity by a fellowship trained pediatric anesthesiologist prior to surgery. Group 2 will undergo the Orthopaedic Institute of Children's (OIC) standard preoperative protocol. Post-operative pain management will be the same for both groups per standard protocol. Pain level will be assessed post-operatively using the Wong-Baker FACES scale and parents will be asked to fill out a questionnaire regarding their satisfaction with the surgery and pain control. Parents will also fill out a medication log until the patient no longer requires pain medication. All patients in both groups will receive standard oxycodone solution prescriptions post-operatively as per typical protocol. The duration of participation in the study is approximately 1 week and requires 2 visits (time of recruitment at surgery and 1st post-op visit). This study is being conducted in hopes of developing comprehensive pain management protocols to reduce opioid consumption after surgical fixations of displaced lateral condyle fractures if the study can show that patients are more satisfied and require less opioid medication when receiving preoperative regional anesthesia.

Official Title

A Randomized Controlled Trial of Infraclavicular Nerve Blocks for Postoperative Pain Control in Operative Pediatric Lateral Condyle Fractures

Quick Facts

Study Start:2019-09-16
Study Completion:2025-03-07
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT03796572

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:4 Years to 12 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:Yes
Standard Ages:CHILD
Inclusion CriteriaExclusion Criteria
  1. * Isolated lateral condyle humerus fracture
  2. * Closed lateral condyle humerus fracture
  3. * Weiss classification type II and III (\>2mm displacement) lateral condyle fractures
  4. * Fractures treated with open reduction percutaneous pinning requiring fixation
  1. * Open fractures
  2. * Fractures with concomitant vascular or neurologic deficit
  3. * Pathologic fractures
  4. * Those presenting with concomitant injuries
  5. * Swelling requiring post-operative hospitalization for monitoring
  6. * Any known history of allergies to ropivacaine or oxycodone
  7. * Patients with developmental delay that would preclude participation in the visual analog Faces Pain Scale-Revised

Contacts and Locations

Study Contact

Samantha C Bauer, MS
CONTACT
2137426537
SBauer@mednet.ucla.edu
Sierra M Pinal, BS
CONTACT
2137421057
spinal@mednet.ucla.edu

Study Locations (Sites)

Orthopaedic Institute for Children
Los Angeles, California, 90007
United States

Collaborators and Investigators

Sponsor: University of California, Los Angeles

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2019-09-16
Study Completion Date2025-03-07

Study Record Updates

Study Start Date2019-09-16
Study Completion Date2025-03-07

Terms related to this study

Keywords Provided by Researchers

  • lateral condyle
  • infraclavicular
  • regional block

Additional Relevant MeSH Terms

  • Fractures, Closed
  • Humeral Fractures
  • Pain