Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 9

Patient Satisfaction in Forefoot Surgery Using Walant Technique

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, Spain

*Corresponding Author: Manel Ballester-Alomar, Orthopaedic Surgery Department, Hospital de Mataro, Mataro, Spain.

Received: July 14, 2022; Published: August 16, 2022


Several anesthetic techniques are used in foot and ankle surgery, WALANT technique is one of them that has several advantages: fast procedure, no ischemia or tourniquet needed, dynamic evaluation. Less preoperative test are needed and the total cost is reduced. It has very successful proven in upper extremity.

We would like to evaluate the patient satisfaction of the WALANT technique in forefoot surgery.

21 patients are included in the study. 66% of the patients had no pain and 19% had minimal pain during the surgery. 85% of the cases recommended or strongly recommended this technique for the forefoot surgery.

Our results indicate that WALANT surgery is a safe with very good satisfaction indicators for the patients.


Keywords: WALANT Technique; Forefoot; Tourniquet


  1. Estebe JP., et al. “The pneumatic tourniquet: mechanical, ischaemia-reperfusion and systemic effects”. European Journal of Anaesthesiology6 (2011): 404-411.
  2. Kurtzman JS., et al. “Wide-awake Local Anesthesia with No Tourniquet: An Updated Review”. Plastic and Reconstructive Surgery – Global Open3 (2021): e3507.
  3. Żyluk A and Szlosser Z. “Local Infiltration Anaesthesia with a Bloodless Operative Field (WALANT). Presentation of the Technique and its Use in Hand Surgery”. Ortopedia Traumatologia Rehabilitacja 3 (2020): 203-209.
  4. Lalonde DH. “Conceptual origins, current practice, and views of wide awake hand surgery”. Journal of Hand Surgery (European Volume)9 (2017): 886-895.
  5. Turcotte JJ., et al. “Development of a Low-Resource Operating Room and a Wide-Awake Orthopedic Surgery Program During the COVID-19 Pandemic”. Surgical Innovation2 (2021): 183-188.
  6. Pires Neto PJ., et al. “Is it safe to use local anesthesia with adrenaline in hand surgery? WALANT technique”. Revista Brasileira de Ortopedia 4 (2017): 383-389.
  7. Fish MJ and Bamberger HB. “Wide-awake Local Anesthesia No Tourniquet (WALANT) Hand Surgery”. 2022 Apr 21. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2022).
  8. Abdullah S., et al. “A Review of 1073 Cases of Wide-Awake-Local-Anaesthesia-No-Tourniquet (WALANT) in Finger and Hand Surgeries in an Urban Hospital in Malaysia”. Cureus 7 (2021): e16269.
  9. Bilgetekin YG., et al. “The use of the wide-awake local anesthesia no tourniquet technique in foot and ankle injuries”. Foot Ankle Surgery5 (2021): 535-538.
  10. “Ankle Fracture Fixation with Use of WALANT (Wide Awake Local Anesthesia with No Tourniquet) Technique: An Attractive Alternative for the Austere Environment”. Journal of Bone and Joint Surgery Am5 (2021): 397-404.
  11. Wu T., et al. “[Application of wide-awake local anesthesia no tourniquet technique in the treatment of acute Achilles tendon rupture]”. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi3 (2022): 279-283.


Citation: Manel Ballester-Alomar., et al. “Patient Satisfaction in Forefoot Surgery Using Walant Technique". Acta Scientific Orthopaedics 5.9 (2022): 59-62.


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.


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 July 10, 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