Acta Scientific Orthopaedics (ISSN: 2581-8635)

Review Article Volume 5 Issue 5

Description of Walant Technique on Achilles Surgery in Times of Covid-19

Lucar Lopez Gustavo Adolfo1,2, Guevara-Noriega Kerbi Alejandro3,4, Villamizar Maria Angelica5 and Ballester-Alomar Manel1,2*

1Orthopedic Surgery Department, Hospital de Mataro, Mataro, Spain
2Orthopedic Surgery Department, Creu Blanca Clinics, Barcelona, Spain
3Vascular Surgery Department, Guy’s and St Thomas NHS Foundation Trust, London, UK
4Vascular Surgery Department, Parc Tauli University Hospital, Sabadell, Spain
5Anesthetic Department, Hospital Santa Creu I Sant Pau, Barcelona, Spain

*Corresponding Author: Ballester-Alomar Manel, Orthopedic Surgery Department, Hospital de Mataro, Mataro and Orthopedic Surgery Department, Creu Blanca Clinics, Barcelona, Spain.

Received: March 15, 2021; Published: April 29, 2022


The WALANT technique, wide-awake local anesthesia no tourniquet has been applied in hand surgeries with good results.

We describe the technique of WALANT anesthesia to be performed in the Achilles surgery (Achilles rupture, non insertional tendinopathy, insertional tendinopathy).

Methods: The anesthesia procedure begins in the posterior part of the Achilles tendon in between the skin and the peritenon, where the skin incision is going to be.

Another injection is done in the Kager space medial and lateral

Finally we go more proximal and inject de solution in the posterior compartment fascia.

It is important to perform the anesthesia procedure at least 30 minutes before de surgery.

WALANT solution is injected based on lidocaine, epinephrine Sodium Bicarbonate and saline solution.

No tourniquet is used during the surgery.

Intraoperative dynamic check can be performed to confirm correct stability of the repair and this allow rapid recovery program.

Keywords: Description of Walant; Technique on Achilles Surgery


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Citation: Ballester-Alomar Manel., et al. “Description of Walant Technique on Achilles Surgery in Times of Covid-19". Acta Scientific Orthopaedics 5.5 (2022): 115-118.


Copyright: © 2022 Ballester-Alomar Manel., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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