Wide-awake Anesthesia No Tourniquet Trapeziometacarpal Joint Prosthesis Implantation

Abstract

Supplemental Digital Content is available in the text.

Two-component surface replacement implants compared with perichondrium transplantation for restoration of Metacarpophalangeal and proximal Interphalangeal joints: a retrospective cohort study with a mean follow-up time of 6 respectively 26 years

“…SR implant surgery has increased in popularity during the last decades. The surgery is relatively straight forward and can be done in wide-awake local anesthesia no tourniquet (WALANT) technique [27,28]. In this perspective, it is easy to forget or overlook old techniques such as perichondrium transplantation performed in general anesthesia.…”

Economic impact of anaesthesia methods used in hand surgery: Global costs and operating room's throughput

“…In recent years, local anaesthesia has become popular and gained acceptance among hand surgeons from many countries (Gong and Xing, 2017;Kasmers et al, 2018;Lalonde, 2014;Lalonde and Martin, 2014; Roberti del Vecchio et al, 2015) for procedures reaching from trigger finger release (Codding et al, 2017) to more complex procedures such as nerve transposition, tendon transfers (Lamouille et al, 2017) or trapeziometacarpal joint replacements (Müller et al, 2018). One of those techniques, also referred to as ''wide awake local anaesthesia no tourniquet'' (WALANT) (Lalonde, 2017), implies that the patient's anaesthesia is achieved by local injections by the surgeon, thus removing the need for an anaesthesiologist.…”

Wide Awake Local Anesthesia no Tourniquet (WALANT)

“…Jedoch werden zunehmend auch ausgedehntere elektive Eingriffe in WALANT-Technik beschrieben, wie z. B.: ▪ Arthroskopien [25], ▪ Plattenosteosynthesen bei Radiusfrakturen [17], ▪ Implantationen trapeziometakarpaler Prothesen bei Rhizarthrosen [26], ▪ Resektionsarthroplastiken. Hinsichtlich des klinischen Outcomes konnte bisher keine Überlegenheit der WALANT-Technik gegenüber herkömmlicher Anästhesie für die meisten Indikationen bewiesen werden [3].…”

“…So konnten in Indien Sehnentransfers bei Lepra-Patienten in der WALANT-Technik durchgeführt werden [27]. In China wurden an zwei Zentren über 8 Jahre 12 000 Patienten mit Frakturen, Weichteiltumoren und Sehnenerkrankungen in WALANT-Technik behandelt bis hin zur Durchführung von Lappenplastiken an der Hand [26]. Auch in Brasilien gewinnt die WALANT-Technik immer mehr an Popularität.…”