Description of WALANT technique in open bone and ligament wrist surgery.
Hand Surg Rehabil
; 43(1): 101610, 2024 02.
Article
em En
| MEDLINE
| ID: mdl-38393765
ABSTRACT
The gold-standard for bone, ligament and joint surgery in the wrist is locoregional anesthesia in most countries. Wide-Awake Local Anesthesia No Tourniquet (WALANT) is commonly used for simple soft-tissue hand surgery procedures such as carpal tunnel or trigger finger release, and can now also be safely used in procedures such as proximal row carpectomy, scapholunate ligament repair or partial wrist fusion, to name but a few. This article describes the use of WALANT for complex surgery in the wrist. WALANT surgery offers many known benefits, such as enhanced patient safety and comfort, simplified perioperative process and avoidance of anesthesia-related risks, and also allows the surgeon to perform intraoperative testing of the repaired structures. Thus, the surgeon can tailor the rehabilitation program and shorten recovery time. We describe detailed guidelines for performing WALANT procedures safely and effectively, making it a favorable option for complex surgeries in the wrist.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Síndrome do Túnel Carpal
/
Anestesia Local
Limite:
Humans
Idioma:
En
Revista:
Hand Surg Rehabil
/
Hand Surg. Rehabil. (Online)
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Hand surgery & rehabilitation (Online)
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Canadá