[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"ankle-surgery\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:ankle-surgery":25},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":23,"conditions":24,"keywords":26,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":30,"startDateStruct":33,"completionDateStruct":35,"leadSponsor":37,"locationsCount":40},"100655722","quality-of-recovery-at-days-5-7-after-ankle-surgery-a-multicenter-study-in-seine-maritime-100655722",false,"NCT07814937","Quality of Recovery at Days 5-7 After Ankle Surgery: a Multicenter Study in Seine-Maritime","Quality of Recovery at Days 5-7 After Ankle Surgery: a Multicenter Study in Seine-Maritime Comparing Peripheral Nerve Block and Spinal Anesthesia","QoR - CHEVILLE","Inclusion Criteria:\n\n* Age ≥ 18 years.\n* Ankle surgery (uni-, bi-, or trimalleolar fracture; osteosynthesis; tibiotalar or subtalar arthrodesis, etc.).\n* Elective or emergency surgery.\n* Anesthesia via nerve block, spinal anesthesia, or general anesthesia.\n* Ability to understand French and answer a questionnaire by telephone.\n* Patient informed and having expressed no objection to the research (non-objection).\n\nExclusion Criteria:\n\n* Under 18 years of age.\n* Inability to perform central or peripheral regional anesthesia due to acquired or congenital hemostasis disorders, use of antiplatelet agents, or other contraindications to regional anesthesia.\n* Surgery not involving the ankle or foot. Pure local anesthesia administered by the surgeon without an anesthesiologist.\n* Major cognitive impairment or inability to respond (language barrier, severe uncorrected deafness, etc.).\n* Patient under legal guardianship, curatorship, judicial protection, or deprived of liberty.\n* Explicit refusal to participate.","ALL","18 Years",{"count":20,"type":21},260,"ESTIMATED","OBSERVATIONAL","Ankle fractures are among the most common fractures in trauma care, with an estimated annual incidence of 100 to 150 per 100,000 inhabitants and a marked increase after age 40. These fractures affect both young individuals-typically following high-energy trauma-and older adults-often resulting from low-energy falls-with a female predominance in the latter group. Surgical fixation (for bi-malleolar, tri-malleolar, or unstable fractures) remains the gold standard for displaced or unstable injuries, requiring appropriate anesthetic management.\n\nAnkle surgery is recognized as one of the most painful orthopedic procedures in the postoperative period, due to extensive local innervation and significant tissue edema. Despite advances in multimodal analgesia protocols-incorporating paracetamol, nefopam, non-steroidal anti-inflammatory drugs (NSAIDs), and corticosteroids-postoperative pain remains inadequately controlled in a significant proportion of patients. Persistent pain after discharge is associated with a twofold increase in the risk of emergency department visits or hospital readmission, highlighting the clinical and socioeconomic impact of insufficient postoperative analgesia.\n\nFurthermore, postoperative pain following ankle surgery is not limited to a nociceptive component. Intraoperative nerve injuries (such as traction neuropraxia or compression caused by edema or fixation hardware) can induce a neuropathic component, which is frequently underestimated in clinical practice.",[25],"Ankle Surgery",[27],"the quality of postoperative recovery","NOT_YET_RECRUITING","2026-09-10",{"date":31,"type":32},"2026-09-11","ACTUAL",{"date":34,"type":21},"2026-10-01",{"date":36,"type":21},"2028-05-03",{"name":38,"class":39},"University Hospital, Rouen","OTHER",4]