Wide-Awake Local Anesthesia, No Tourniquet Surgery in the Philippines.

The use of wide-awake local anesthesia, no tourniquet (WALANT) has been adapted by most hand surgeons in the Philippines. This is especially true for centers with a large volume of patients needing specialized care for the hand. The use of WALANT has enabled surgeons to do procedures on an outpatient basis, thus potentially creating cost-saving measures for patients and health care facilities.

The Validity, Reliability and Internal Consistency of the Cross-Cultural Adaptation of the FIL-DASH (Filipino Version of the Disability of the Arm, Shoulder and Hand) Questionnaire in Patients with Traumatic Brachial Plexus Injuries.

The objective of this paper was to determine the validity, reliability and internal consistency of the translated FILIPINO DASH (FIL-DASH) questionnaire in patients with traumatic brachial plexus injuries. Thirty-five adult patients with traumatic brachial plexus injury were enrolled in the validation stage. The same questionnaire was given to the patient between 7 to 14 days for the .

Carpal boss in an adolescent: case report.

Carpal boss is a relatively uncommon cause of pain and swelling on the dorsum of the wrist and usually presents in adult patients. However, it is occasionally seen in adolescents. We describe an unusual case of a 15-year-old girl with a carpal boss treated surgically after failed conservative treatment.

Accuracy of fluoroscopy in closed reduction and percutaneous fixation of simulated Bennett's fracture.

Purpose: Restoration of joint congruity has been shown to be an important factor in the prevention of arthritis in patients with Bennett's fracture. It is for this reason that surgical management is generally recommended for displaced intra-articular fractures of the base of the thumb metacarpal. Adequacy of closed reduction after pinning of Bennett's fracture is usually evaluated by fluoroscopic examination.

Percutaneous management of scaphoid nonunions.

Scaphoid nonunions pose a formidable challenge to surgeons because of the multiple factors that may contribute to their causation. The etiology of the nonunion may be because of anatomic variations, fracture configuration, vascular problems, underlying metabolic problems, or the inadequacy of initial treatment. Percutaneous management of scaphoid nonunions offers the advantage of inducing minimal trauma to the soft tissues while adequately stabilizing the fracture site to induce union in a high percentage of cases.

Biomechanical stability of different fixation constructs for ORIF of radial neck fractures.

Radial head and neck fractures are common and at times require operative fixation. There is no consensus on the ideal fixation construct for unstable radial neck fractures. Using 7 fresh frozen cadaveric radii, fractures of the radial neck were created 2 cm from the articular surface.

Osteochondral autografting for acute articular defect of the metacarpal head: case report.

Osteochondral injuries in the hand are common. The small size of the joints and associated articular surfaces make repair of these injuries difficult. Osteochondral autografting has been described in the knee for some time and has recently been reported for hand injuries.