Arthroscopy-assisted repair of distal radius (wrist) fractures using WALANT anesthesia
Official title: Wrist Fractures Management With Arthroscopic Assistance Under Walant - Exploratory Study
Run by GCS Ramsay Santé pour l'Enseignement et la Recherche · NCT06379555 · Data updated 2026-11-12
It will try using wrist arthroscopy together with WALANT (wide-awake local anesthesia, no tourniquet) to repair displaced articular distal radius fractures in adults treated as outpatients.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 12 (estimated) |
| Sponsor | GCS Ramsay Santé pour l'Enseignement et la Recherche Academic / other |
| Locations | 1 site (Versailles) |
| Status | Recruiting |
| Started | November 6, 2024 |
| Main results expected | June 30, 2027 |
| Study ends | June 30, 2027 |
| Registry record updated | November 24, 2025 |
| Trial ID | NCT06379555 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–70 with a unilateral displaced intra-articular distal radius fracture who are suitable for ambulatory surgery and have no prior wrist surgery or infection.
✕Probably not a fit
Patients with multiple or bilateral fractures, associated other fractures, pathological bone conditions, prior wrist surgery or infection, or those requiring inpatient care or general anesthesia are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This exploratory interventional study combines wrist arthroscopy with WALANT (wide-awake local anesthesia no tourniquet) during surgical repair of displaced intra-articular distal radius fractures. Surgeons use arthroscopy to inspect and treat carpal ligament injuries and to guide fracture reduction to eliminate joint surface "step-offs", while WALANT provides local anesthesia without a tourniquet so the patient remains awake and the limb remains mobile. The trial enrolls adults aged 18–70 with unilateral displaced articular distal radius fractures treated in an ambulatory setting and excludes those with prior wrist surgery, multiple or bilateral fractures, pathological bone, or inability to consent. Outcomes focus on surgical precision, ability to treat associated ligament lesions, patient comfort, and recovery time following the combined approach.
Why it matters
Potential benefit: If successful, the approach could improve joint surface alignment, allow immediate treatment of ligament injuries, reduce anesthesia-related risks, and speed functional recovery and discharge.
How similar studies have gone: Wrist arthroscopy and WALANT have each shown benefits in hand and wrist surgery, but combining arthroscopy-assisted distal radius fixation under WALANT is relatively novel and not yet widely studied.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient, male or female, aged ≥ 18 and \< 70 years * Patient with a displaced articular fracture of the distal radius (unilateral wrist fracture) * Patient treated on ambulatory way * Patient affiliated to or beneficiary of a social security system * French speaking patient, having signed informed consent Exclusion Criteria: * Patient with previous infection or wrist bone surgery * Patient with multiple fractures or with bilateral wrist fractures * Patient with associated fracture with the wrist fracture * Patient with "pathological" bone * Protected patient: adult under guardianship, curatorship or other protection legal, deprived of liberty by judicial or administrative decision * Patient hospitalized without consent
Where it's running
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Clinique Les Franciscaines (Hôpital privé de Versailles)
Versailles, France Recruiting
Study contacts
- Study coordinator: Thomas APARD, MD
- Email: thomasapard@echo-chirurgie-versailles.fr
- Phone: +33 6 81 61 05 80
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.