The Wide-Awake Local Anesthesia No Tourniquet (WALANT) technique enables the creation of a suitable surgical field without the need for a tourniquet, while also allowing for the evaluation of the ankle under physiological forces (active ankle movement) after fixation. Data on the use of the WALANT technique in open reduction and internal fixation of ankle fractures are limited. This case video is the first to be presented in the literature.
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http://dx.doi.org/10.1002/ccr3.70267 | DOI Listing |
Purpose: To compare anesthesia techniques (WALANT (wide-awake anesthesia no tourniquet), locoregional anesthesia, local anesthesia with tourniquet or sedation) for carpal tunnel release (CTR).
Methods: A comprehensive literature search was conducted on PubMed, MEDLINE, Embase and the Cochrane Library up to May 2023. Two independent reviewers selected the studies and extracted the data.
J Hand Microsurg
May 2025
Departamento de Ortopedia y Traumatología, Hospital de Clínicas "José de San Martín", Universidad de Buenos Aires, Buenos Aires, Argentina.
Fasciectomy is a surgical procedure frequently used for the treatment of Dupuytren's disease. The WALANT (Wide-Awake Local Anesthesia No-Tourniquet) anesthesia technique has gained popularity for its advantages over general anesthesia, such as risk reduction and cost savings. However, one of the main challenges is pain management and anesthetic efficacy during surgery.
View Article and Find Full Text PDFJ Foot Ankle Surg
February 2025
Department of Anesthesia, AlRazi National Orthopedic Hospital, Kuwait. Electronic address:
Ankle fractures which commonly require surgical intervention, often lead to subsequent implant removal, which traditionally involves general or regional anesthesia. This study evaluates the efficacy and safety of the Wide-Awake Local Anesthesia No Tourniquet (WALANT) technique as an alternative to general anesthesia (GA) for ankle implant removal. This single-center, prospective randomized controlled trial at a tertiary orthopedic center was conducted from June 2022 to August 2024.
View Article and Find Full Text PDFJ Hand Surg Glob Online
January 2025
Department of Orthopaedic Surgery, JPS Health Network, Fort Worth, TX.
Purpose: Wide-awake, local anesthesia, no tourniquet (WALANT) techniques represent a notable advancement in hand surgery by reducing costs and enhancing patient satisfaction. This study aims to compare Disabilities of the Arm, Shoulder, and Hand (DASH) and pain score improvements in patients undergoing endoscopic carpal tunnel release (ECTR) in an office setting under WALANT versus those performed in the operating room under general or regional anesthesia.
Methods: We conducted a retrospective chart review of all patients aged ≥18 years who underwent ECTR during the period November 2020 to December 2022 by a single hand surgeon at a single level-1 trauma center.
The Wide-Awake Local Anesthesia No Tourniquet (WALANT) technique enables the creation of a suitable surgical field without the need for a tourniquet, while also allowing for the evaluation of the ankle under physiological forces (active ankle movement) after fixation. Data on the use of the WALANT technique in open reduction and internal fixation of ankle fractures are limited. This case video is the first to be presented in the literature.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!