gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Tendon transfer and wide awake: innovation and high functional result

Meeting Abstract

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  • presenting/speaker Giovanna Petrella - Hand and Microsurgery Unit Policlinico di Modena, Modena, Italy
  • Roberto Adani - Chief of Hand and Microsurgery Unit Policlinico di Modena, Modena, Italy

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-514

doi: 10.3205/19ifssh0585, urn:nbn:de:0183-19ifssh05857

Veröffentlicht: 6. Februar 2020

© 2020 Petrella et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: The wide awake anesthesia technique is the new frontier for hand surgeon. Operating patients under local anesthesia, without the discomfort of the tourniquet, allows you to observe the tension given to tendon transfers by active movements and possibly make changes in tension before skin closure [1].

Methods: We present our case studies of 20 patients, aged between 8 and 86 years, operated with this anesthesiological technique, to which we carried out tendon transfers. The tendon rupture was after degenerative disease. Active rehabilitation was carried out for all to obtain high results.

Results and Conclusions: In no case we have obtained a deficit of vascularization of the fingers, never used the tourniquet, in no cases we have assisted tendons rupture or deficit of tension in tendon transfer. No patients felt ill during the surgery and were pleased to have participated like active actor during the surgery.

We believe that the wide awake technique is a good innovation for hand surgery and can perform over 80% of the operations. It is a technique that can be applied to all ages, it does not require the suspension of any therapies and introduces the concept of field sterility.

Gliederung

References

1.
Lalonde HD. Wide awake hand surgery. Boca Raton (Florida): CRC Press; 2016.