WALANT Technique in Percutaneous Scaphoid Osteosynthesis.

Autor:	Folberg CR; Grupo de Cirurgia de Mão, Serviço de Ortopedia e Traumatologia, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brasil., Alves JAO; Grupo de Cirurgia de Mão, Serviço de Ortopedia e Traumatologia, HCPA, Porto Alegre, RS, Brasil., Pereira FMS; Grupo de Cirurgia de Mão, Serviço de Ortopedia e Traumatologia, HCPA, Porto Alegre, RS, Brasil., Pedrozo VB; Serviço de Ortopedia e Traumatologia, HCPA, Porto Alegre, RS, Brasil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2022 Apr 25; Vol. 57 (6), pp. 1070-1073. Date of Electronic Publication: 2022 Apr 25 (Print Publication: 2022).
DOI:	10.1055/s-0041-1726070
Abstrakt:	Scaphoid fractures account for 50 to 70% of all carpal bone fractures. Percutaneous scaphoid osteosynthesis can use the dorsal or volar approach, both with good results, and is most commonly performed under general anesthesia or regional nerve block. The wide-awake local anesthesia no tourniquet (WALANT) technique is already considered a safe and cost-effective technique in hand surgery around the world. Local anesthesia with epinephrine causes vasoconstriction, which obviates the need for tourniquet and, consequently, the need to use patient sedation. Thus, the possibility of testing fixation stability under physiological forces is another great advantage of using local anesthesia. In the technique described in the present paper, active wrist and hand motion can be tested immediately after scaphoid fixation. Wide-awake local anesthesia no tourniquet has been increasingly used in soft-tissue hand surgery and in the fixation of metacarpal and phalangeal fractures. However, to date, there is no published literature addressing the use of this technique in percutaneous scaphoid osteosynthesis. The purpose of the present technical note is to describe the use of WALANT for both the dorsal and volar approaches in percutaneous scaphoid osteosynthesis. Competing Interests: Conflito de Interesses Os autores declaram que não há conflito de interesses. (Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze:	MEDLINE
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