Repair of Flexor Tendons of the Hand by WALANT Method
Víctor Caricabel Marín1, Vladimir Andrés Vásquez Encalada2,
Reynier E Pacheco Sánchez1, Jessael Ramirez Batecas2 and Alberto Pichs Borges3
1Doctor of Medicine, First Degree Specialist in Orthopedics and Traumatology, Calixto García General University Hospital
2Doctor of Medicine, Third Year Resident in Orthopedics and Traumatology, Calixto García General University Hospital
3Doctor of Medicine, Second Year Resident in Orthopedics and Traumatology, Calixto García General University Hospital
*Corresponding Author: Víctor Caricabel Marín, Doctor of Medicine, First Degree Specialist in Orthopedics and Traumatology, Calixto García General University Hospital.
April 19, 2023; Published: May 18, 2023
Introduction: Hand injuries involving flexor tendons associated with neurovascular damage should be considered an orthopedic emergency in all trauma centers.
Objectives: To evaluate the benefits of the WALANT Method in the repair surgery of flexor tendons of the hand, in patients operated in the Orthopedics and Traumatology service of the Calixto García University Hospital, in the period from June to December 2021. Method: An observational, descriptive, prospective and cross-sectional study was conducted in 25 patients with traumatic flexor tendon injuries, operated by the WALANT Method, by Basic Work Groups 2 and 3 using as variables age, sex, pain during infiltration and transoperative, associated injuries, complications and hospital stay.
Results: 100% of patients presented pain during infiltration rated on the VAS scale of mild (0-3), while in the transoperative period all had a pain of 0. Transoperative bleeding in 80% of patients was less than 10 ml. Of the total number of patients, only five had associated neurovascular lesions. The hospital stay in most patients was less than 12 hours.
Conclusions: The WALANT method is a safe and reliable therapeutic alternative for hand flexor tendon repair surgery, significantly reducing anesthetic complications, transoperative bleeding and hospital stay.
Keywords:WALANT; Flexor Tendons; Local Anesthesia
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