gms | German Medical Science

Objectives/Interrogation: Wide Wake Local Anesthesia No Tourniquet Surgery recently changed the way hand procedures are done and contributed definitely to improve our functional results in some of the hand conditions.

Recently, the technique for distal radius fracture treatment by WALANT were described.

We asked if the same principles and rationale of WALANT could be applied to wrist surgical techniques and what would be the advantages of Wrist Surgery done by WALANT.

Methods: We developed a technique of local anesthesia technique to aply the principles of WALAT Surgery in Wrist Surgery.

6 Patients were selected and included in the study. All patients gave their informal consent.

Carpal row carpectomy, four corner fusion, scaphocapitate arthrodesis and perilunate dislocation were the procedures done by technique.

We had no complications from using WALANT techniques for these more advanced wrist procedures.

Dynamic motion allowed Aditional procedures and adjustements made peroperatively based on intraoperative fidinds.

Results and Conclusions: We operated 6 patients with no formal complications of the local anesthetic technique.

In 3 patients aditional procedures decisions were done by direct visualization of their need Dynamically.

Motion could be very reliably anticipated by intra-op motion by the patient.

WALANT is posible in more advanced Wrist surgery and can permit several important technical decisions during surgery regarding aditional and concomitant procedures, this could improve surgical functional results and patient satisfaction.

This study adjoin new possible procedures that can be done with Walant technique, expanding the armamentarium of surgerys already described.

We present our anesthetic technique and surgical results.