Wide-Awake Wrist and Small Joints Arthroscopy of the Hand

Bo Liu; Chye Yew Ng; Mohammed Shoaib Arshad; Dafydd S Edwards; Michael J Hayton

doi:10.1016/j.hcl.2018.08.010

Wide-Awake Wrist and Small Joints Arthroscopy of the Hand

Hand Clin. 2019 Feb;35(1):85-92. doi: 10.1016/j.hcl.2018.08.010.

Authors

Bo Liu¹, Chye Yew Ng², Mohammed Shoaib Arshad², Dafydd S Edwards², Michael J Hayton²

Affiliations

¹ Department of Hand Surgery, Beijing Ji Shui Tan Hospital, 4th Clinical Hospital of Peking University, 31 Xinjiekou East Street, Beijing 100035, China. Electronic address: bobliu7@hotmail.com.
² Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, Lancashire WN6 9EP, UK.

PMID: 30470335
DOI: 10.1016/j.hcl.2018.08.010

Abstract

The minimally invasive nature of wrist and small joint arthroscopy renders it particularly suitable for the application of the wide-awake local anesthesia no tourniquet (WALANT) technique. The application of WALANT wrist and small joint arthroscopy has given surgeons the ability to visualize both static and dynamic movements of a joint, to show the pathology and discuss with the patient, and to visualize a patient's repaired structures. This reinforces confidence in surgeons and encourages patients to comply with postoperative rehabilitation.

Keywords: Anesthesia; Small joint arthroscopy; WALANT; Wide-awake hand surgery; Wrist arthroscopy.

Publication types

Review

MeSH terms

Ambulatory Surgical Procedures*
Anesthesia, Local*
Anesthetics, Local / administration & dosage
Arthroscopy / methods*
Epinephrine / administration & dosage
Hand Joints / surgery*
Humans
Lidocaine / administration & dosage
Patient Positioning
Vasoconstrictor Agents / administration & dosage
Wrist Joint / surgery*

Substances

Anesthetics, Local
Vasoconstrictor Agents
Lidocaine
Epinephrine