The Outcome of the WALANT Technique in Primary Hand Flexor Tendons Repair

Autor: Mohammed Adel Abd Elhameed, Khaled Mohamed Hassan, Ashraf Mohamed Ali Metawally, Mohamed Sabry
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: JPRAS Open, Vol 40, Iss , Pp 77-84 (2024)
Druh dokumentu: article
ISSN: 2352-5878
DOI: 10.1016/j.jpra.2023.11.012
Popis: Introduction: Wide-awake local anesthesia and no tourniquet (WALANT) represents a revolutionary technique for hand surgeons who dismiss tourniquets and sedation. In this study, we present our experience with the WALANT technique in primary flexor tendon injuries of the hand. Patient and methods: This prospective research was carried out on 30 patients undergoing hand primary, flexor tendon repair surgery. Flexor tendon injury zones 2, 3, 4, and 5 were included. WALANT was prepared and injected. The tendons were surgically managed by a cruciate single cross-stitched locked 4-strand technique. The pain was assessed using a visual analog scale (VAS) score. The range of motion (ROM) of affected fingers was assessed according to the Strickland evaluation system. Results: There was a highly significant relationship between the patient's compliance with physiotherapy and obtained ROM of the affected finger with a P value
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