Principal Investigator: Justin Haller
Keywords: Multimodal , Comparison , Trauma Department: Orthopedic Surgery Operations
IRB Number: 00137271
Specialty: Orthopaedic Surgery
Sub Specialties: Orthopaedic Trauma
Recruitment Status: Enrolling by invitation

Contact Information

Zach Olsen
zachary.olsen@hsc.utah.edu
8019152838

Brief Summary

Specific Aim 1: Evaluate the efficacy in reducing post-operative pain between local multimodal analgesia as compared to regional anesthesia in rotational ankle fractures.

The hypothesis is that ankle fracture patients with post-operative local multimodal analgesia will have similar Visual Analog Scale (VAS) pain and the Revised American Pain Society Patient Outcome Questionaire (APS-POQ-R) scores as patients with post-operative regional anesthesia at 24 hours post-surgery.  Secondary analyses will compare VAS pain scores at 1, 2, 4, and 8 hours post-operatively in addition to post-operative narcotic usage between the two groups.

 

Specific Aim 2: Compare the post-operative complications between local multimodal analgesia as compared to regional anesthesia in rotational ankle fractures.

The hypothesis is that ankle fracture patients with local multimodal analgesia will have fewer post-operative complications than patients with regional anesthesia.  Clinical assessments will be performed to evaluate for complications including delayed wound healing, infection, and nerve palsies.  Secondary analysis will compare patient reported outcomes at 3 and 6 months using the Patient Reported Outcome Measurement Information System (PROMIS) physical function and the Foot and Ankle Ability Measure (FAAM) outcome instruments.

 

Specific Aim 3: Compare the procedural cost differences between local multimodal analgesia as compared to regional anesthesia in rotational ankle fractures.

The hypothesis is that ankle fracture patients with post-operative local multimodal analgesia will have less procedural cost than patients with post-operative regional anesthesia.  Total cost as well as surgical cost will be evaluated using our Value Driven Outcome (VDO) data, which provides true cost analysis as compared to patient charges analysis.

Inclusion Criteria

Patients who present with an isolated rotational ankle fracture necessitating operative intervention treated by Drs. Haller, Higgins, Rothberg, or Marchand.

Patients must be either primary English or Spanish speaking with the ability to provide informed consent and able to communicate with the research team via email or phone.

Exclusion Criteria

Patients will be excluded from the study if they sustain concomitant head injury, additional lower extremity fracture(s), or open fracture. Also, those patients with prior drug dependency, allergies to any of the ingredients in the local injection or peripheral nerve block, and any history of stroke or a major neurological deficit will be excluded.