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

Abstract

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

References

  1. Vadivelu N., et al. “Role of regional anesthesia in foot and ankle surgery”. Foot and Ankle Specialist - SAGE Journals3 (2015): 212-219.
  2. Bilgetekin YG., et al. “The use of the wide-awake local anesthesia no tourniquet technique in foot and ankle injuries”. Foot and Ankle Surgery - Journals20 (2020): 30141-30147.
  3. Guevara-Noriega KA., et al. “Coagulation Panel in Patients with SARS-CoV2 Infection (COVID-19)”. Annals of Clinical and Laboratory Science3 (2020): 295-298.
  4. Lalonde D and Martin A. “Tumescent local anesthesia for hand surgery: improved results, cost effectiveness, and wide-awake patient satisfaction”. Archives of Plastic Surgery4 (2014): 312-316.
  5. MacNeill AL and Mayich DJ. “Wide-awake foot and ankle surgery: A retrospective analysis”. Foot and Ankle Surgery4 (2017): 307-310.
  6. Lalonde D. “Minimally invasive anesthesia in wide awake hand surgery”. Hand Clinics1 (2014): 1-6.
  7. Abdullah S., et al. “Wide Awake Local Anesthesia No Tourniquet Forearm Triple Tendon Transfer in Radial Nerve Palsy”. Plastic and Reconstructive Surgery, Global Open8 (2020): e3023.
  8. Hagert E and Lalonde D. “Dags att begrava adrenalin-myten! - Säkert bruk av adrenalinbedövning inom handkirurgi och ortopedi [Time to bury the adrenaline-myth!--Safe use of adrenaline anesthesia in hand surgery and orthopedics]”. Lakartidningen 112 (2015): C4MC.
  9. Bilgetekin YG., et al. “The use of the wide-awake local anesthesia no tourniquet technique in foot and ankle injuries”. Foot and Ankle Surgery20 (2020): 30141-30147.
  10. Poggetti A., et al. “A local anesthesia without tourniquet for distal fibula hardware removal after open reduction and internal fixation: the safe use of epinephrine in the foot. A randomized clinical study”. Journal of Biological Regulators and Homeostatic Agents6-1 (2018): 57-63.

Citation

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

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.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is June 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US