Wide-awake local anesthesia for clavicle fracture fixation: A case report
| Autor: | Sunyarn Niempoog, Woraphon Jaroenporn, Yot Tanariyakul |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Tourniquet business.industry medicine.medical_treatment Clavicle fracture Tumescent anaesthesia WALANT Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Clavicle 030220 oncology & carcinogenesis Fracture fixation Orthopedic surgery Case report medicine 030211 gastroenterology & hepatology Local anesthesia Complication business Reduction (orthopedic surgery) Fixation (histology) |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Clavicular fracture was treated with plate osteosynthesis using the WALANT technique. • Adequate pain control and minimal bleeding were observed during the surgery. • WALANT technique can be used in cases with unsuitability of general anesthesia. Introduction The wide-awake local anesthesia no tourniquet (WALANT) technique has been used in many orthopedic surgeries. The benefits of this technique are the avoidance of the adverse effects of general anesthesia (GA) and the overall reduction of the cost of surgery. However, a literature search revealed no published report on performing the WALANT technique for clavicular fracture surgery. Presentation of case We report a case of mid-shaft clavicular fracture that was treated with plate osteosynthesis using the WALANT technique in a patient with uncontrolled atrial fibrillation. During the operation, the patient did not experience any pain, and the procedure could be performed easily due to minimal bleeding in the operative field. The operation was completed successfully without any complications, and the patient was discharged from the hospital the day after surgery. Follow-up radiographs after three months showed union of the clavicle at the fracture site, and the patient could use his arm normally. Discussion Clavicular fracture is routinely treated with plate osteosynthesis under general anesthesia. In some patients with high morbidity and other risk factors for whom GA is unsuitable, the WALANT technique can prove to be an effective alternative. Conclusion Clavicular fixation can be performed successfully and without any complication under WALANT technique. |
| Databáze: | OpenAIRE |
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