Plating Distal Radius Fractures Using Wide-Awake Local Anesthesia No Tourniquet (WALANT) Versus General Anesthesia: A Cohort Study

This study compared outcomes of plating distal radius (DR) fractures using wide-awake local anesthesia no tourniquet (WALANT) versus general anesthesia (GA). From March 2018 to March 2019, 20 patients with DR fracture underwent plating using WALANT whereas 20 patients who underwent plating under GA...

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Published in:Journal of hand surgery global online 2020-11, Vol.2 (6), p.331-338
Main Authors: Yi, Liew Mei, Ahmad, Amir Adham, Ruslan, Shairil Rahayu, Abdullah, Shalimar, Ahmad, Abdul Rauf
Format: Article
Language:English
Subjects:
Bleeding
Lidocaine
Original Research
Pain
Radius
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container_title Journal of hand surgery global online
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creator Yi, Liew Mei
Ahmad, Amir Adham
Ruslan, Shairil Rahayu
Abdullah, Shalimar
Ahmad, Abdul Rauf
description This study compared outcomes of plating distal radius (DR) fractures using wide-awake local anesthesia no tourniquet (WALANT) versus general anesthesia (GA). From March 2018 to March 2019, 20 patients with DR fracture underwent plating using WALANT whereas 20 patients who underwent plating under GA were used as controls. Outcomes evaluated were pain control, waiting time for the operation, hemodynamic changes, blood loss, the occurrence of adverse effects of medications used in WALANT and GA, and the duration of postoperative stay. The WALANT group experienced a significantly shorter waiting time for surgery (6 vs 20 days; P < .001) and a shorter postoperative stay (1 vs 2 days; P = .009) compared with the GA group. They also reported mild to no pain during surgery. The groups were similar with regard to blood pressure, blood loss, and operative time. None in the WALANT group required conversion to GA during surgery and no adverse effects were reported. The WALANT approach is a viable alternative to GA for plating of DR fractures. Therapeutic III.
doi_str_mv 10.1016/j.jhsg.2020.09.003
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subjects Bleeding
Lidocaine
Original Research
Pain
Radius
title Plating Distal Radius Fractures Using Wide-Awake Local Anesthesia No Tourniquet (WALANT) Versus General Anesthesia: A Cohort Study
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