Wide-Awake Hand Surgery Experience in Patients 10 to 18 Years of Age.

Purpose: We investigated the frequency of wide-awake local anesthesia no tourniquet (WALANT) use for hand surgery in the a 10- to 18-year-old age group and patients' experiences.

Methods: Patients aged 10-18 years who had hand surgery in June 2016 to March 2020 were identified. The frequency of patients who agreed to have surgery under WALANT was calculated (%).

Fentanyl use disorder characterized by unprescribed use of transdermal patches: a case report.

Background: Fentanyl is a synthetic opioid with analgesic potency 75-100 times higher than that of morphine, and its analgesic effect is used for pain treatment, mostly in cancer patients. Using fentanyl patches may reduce misuse potential due to the transdermal route of administration, long-acting action, sustained release delivery property, and maintenance of steady-state serum concentration of the drug. Although there have been reports of transdermal fentanyl patches (TFPs) misuse via transmucosal, trans-nasal, intravenous, and oral routes of administration, fentanyl use disorder via the transdermal route is very rare.

Comparison of Individuals With and Without the Risk of Post-Traumatic Stress Disorder in Terms of Substance Use Features and Psychological Problems According to Their Substance Preferences.

Objective: There are multiple studies that show that exposure to a traumatic life event is a significant factor in the development and continuation of addiction. When post-traumatic stress disorder (PTSD) is added to an alcohol-substance use disorder, the course of treatment is negatively affected. This study aimed to compare people with and without the risk of PTSD in terms of substance use features and psychological problems on the basis of their substance preferences.

Getting Better Results in Flexor Tendon Surgery and Therapy.

Recently, better outcomes have been reported when up-to-date developments in flexor tendon surgery and therapy were followed. Slightly tensioned multistrand repairs, judicious venting of pulleys, and early active motion are widely accepted principles. In addition to these principles, tailoring of the repair according to intraoperative active movement with wide awake local anesthesia no tourniquet (WALANT) surgical setting is recommended for better results.

Evaluating Stack Splint Use for Mallet Finger.

Stack splint is commonly used for mallet finger treatment but patients had a tendency to frequently remove it because of skin complications. We hypothesized that a comprehensively instructed splinting regime would increase patients' compliance and lead to favorable outcomes with fewer skin complications. The aims of this study were to assess the patients' compliance and to evaluate outcomes with that particular splinting regime.