RESUMEN
Introduction: To improve hemostasis and visibility, a tourniquet was used throughout the majority of hand and wrist procedures, despite the fact that patient experience unnecessary and excruciating pain from the tourniquet. The more current method known as wide-awake local anesthesia without tourniquet (WALANT) enables intraoperative function evaluation while the patient is completely conscious. Materials and Methods: Individuals with displaced distal radius fractures that required surgery and isolated, non-concomitant injuries requiring spinal or general anesthesia were considered for WALANT technique. In our study, five patients underwent dorsal plate fixation and five patients underwent volar plate fixation. Patients receiving dorsal plate fixation required definite dorsal buttress to prevent radiocarpal dislocation. Conclusion: The WALANT technique is a simple, reliable, and effective anesthetic method for internal fixation and open reduction of distal radius fractures. Since a tourniquet is not necessary, the patient is protected from the discomfort and risks associated with one.
RESUMEN
Introduction: Medial swivel type of talonavicular dislocation is a very rare injury; caused by high high-velocity trauma. This injury occurs due to forceful adduction of the forefoot without inversion of the foot; causing talonavicular joint to dislocate medially while calcaneum swivels under the talus with intact talocalcaeneal interosseous ligament and calcaneocuboid joint. Case Report: We report a case of 38-years-old male who had medial swivel injury to his right foot, sustaining a high- velocity road traffic accident with no other injuries. Conclusion: The occurrences, features, reduction maneuver, and follow follow-up protocol of medial swivel dislocation rare injury has have been presented. Even though it's it is a rare injury, good outcomes are still achievable with proper evaluation and treatment.
RESUMEN
Introduction: Giant cell tumor of bone most commonly involves ends of the long bones in a skeletally mature patient. Giant cell tumor of the bones of the hand and feet is very rare, so is the giant cell tumor of talus. Case Report: We are reporting a case of giant cell tumor of talus in a 17-year-old female who presented with a history of pain and swelling around left ankle since 10 months. Radiographs of the ankle showed lytic expansile lesion involving whole of talus. Talectomy followed by calcaneo-tibial fusion was done as intralesional curettage was not feasible in this patient. Histopathology confirmed the diagnosis of giant cell tumor. There was no evidence of recurrence even at 9 years follow-up and the patient was able to carry out her daily activities without much discomfort. Conclusion: Giant cell tumor is most commonly encountered around the knee or distal radius. Involvement of foot bones especially talus is extremely uncommon. In early presentation, extended intralesional curettage with bone grafting and, in late, talectomy with tibiocalcaneal fusion are the treatment options.
