Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 9

Description of WALANT Technique on Forefoot Surgery

Gustavo Lucar-Lopez1,4, Guillem Paz Ramírez1, Maria Fernanda Gómez Blanco1, Manel Ballester-Alomar1,4*, Kerbi Alejandro Guevara-Noriega3 and MA Villamizar Avendaño2

1Orthopaedic Surgery Department, Hospital de Mataro, Mataro, Spain

2Anaesthesia and Resuscitation, Hospital de la Santa Creu I Sant Pau, Barcelona, Spain

3Vascular Surgery and Translational Medicine, Parc Tauli University Hospital, Sabadell, Spain

4Foot and ankle and Sports Medicine Unit, Clinica Creu Blanca, Barcelona

*Corresponding Author: Manel Ballester-Alomar, Orthopaedic Surgery Department, Hospital de Mataro, Mataro, Spain and Foot and ankle and Sports Medicine Unit, Clinica Creu Blanca, Barcelona.

Received: July 14, 2022; Published: August 12, 2022


Forefoot surgery usually requires tourniquet use and anaesthesia is performed using a popliteal or ankle anaesthetic block. Therefore, surgical departments require an anaesthesiologist to trust them with this procedure. The elective nature of forefoot surgery and the lack of anaesthesiologists resulting from the COVID 19 pandemic, has forced Foot and Ankle specialists to dig into other alternatives, in order to continue their surgical practice and to avoid the growth of the waiting list. The wide-awake local anaesthesia non-tourniquet, which was originally described for upper limb surgery, has recently been adjusted to Foot and Ankle surgery. It does not require sedation, nor regional or general anaesthesia and since the patient is wide-awake, they will be able to fully collaborate during the procedure. The use of lidocaine and adrenaline described on the WALANT technique allows us to obtain a local anaesthesia and vasoconstriction. This method permits the surgeon to move forward into surgery with a completely awake patient and no need of tourniquet giving the advantage of a full motor function assessment intraoperatively. WALANT has been proven to be a safe, effective and affordable technique when it comes to foot and ankle surgery. Having gone through a lack of anaesthesiologists, surgery rooms and hospital resources during SARS-CoV2, WALANT emerged and now represents an acceptable alternative to consider and continue to treat selected cases of foot and ankle surgeries.


Keywords: WALANT; Foot and Ankle; Local Anaesthesia; COVID-19; Ambulatory Surgery; Forefoot Surgery


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Citation: Manel Ballester-Alomar., et al. “Description of WALANT Technique on Forefoot Surgery". Acta Scientific Orthopaedics 5.9 (2022): 56-58.


Copyright: © 2022 Manel Ballester-Alomar., 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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