Latest Advances in Wide Awake Hand Surgery.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 30470325.
- Also identified by DOI 10.1016/j.hcl.2018.08.002.
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- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Injection of tumescent local anesthesia should no longer be painful. WALANT anesthesia, strong sutures, a slightly bulky repair, intraoperative testing of active movement, and judicious venting of the A2 and A4 pulleys improve results in flexor tendon repair. WALANT K wire finger fracture reduction permits intraoperative testing of K wire stability with active movement to facilitate early protected movement at 3 to 5 days after surgery. WALANT can decrease costs and garbage production while increasing accessibility and affordability. Several surgeons have found no infection difference when the K wires are inserted with full operating room sterility versus field sterility.
Medical subject headings
- Ambulatory Surgical Procedures
- Anesthesia, Local
- Hand
- Orthopedic Procedures
Anatomy
- hand