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The Archives of Bone and Joint Surgery، جلد ۱۱، شماره ۵، صفحات ۳۲۱-۳۲۵
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عنوان انگلیسی WALANT Technique versus Local Anesthesia with a Tourniquet in Carpal Tunnel Syndrome
چکیده انگلیسی مقاله Objectives: Obtaining a blood-free surgical field is critical during carpal tunnel decompression (CTD) to identify anatomic structures and avoid iatrogenic injury. A tourniquet is often used to minimize bleeding and improve visualization. However, it may be associated with discomfort and intolerance when sedation is not employed. WALANT ("Wide awake local anesthesia no tourniquet") technique surgeries have become very popular and enable the patient to be involved in the procedure; in addition, the adrenaline avoids the use of the tourniquet and the discomfort it produces. We hypothesized that there is no difference in postoperative pain after CTD between local anesthetic with a tourniquet (LA-T) and WALANT technique. The objective of this paper is to report the results of CTD, comparing those performed with local anesthesia and those performed with the WALANT.Methods: In this prospective study, 60 CTS were operated in two different institutions. Patients in group 1 (30 patients) were operated under LA-T, while patients in group 2 (30patients) were operated on using lidocaine with epinephrine (WALANT). Statistical analysis was performed.Results: Postoperative pain immediately after surgery, at 4 and 24 hours, and 15, and 30 days after surgery; and degree of satisfaction did not show a significant difference between the two groups. Moreover, surgical time was slightly shorter in the LA-T group, but the difference was not significant.Conclusion: In our study, CTD performed with LA-T, and WALANT technique resulted in similar results. In cases of experienced surgeons, LA-T may be enough to perform the procedure, avoiding epinephrine's low but complex complications. In less experienced surgeons who require more surgical time, the use of WALANT may increase the intraoperative comfort of the patient. Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Carpal tunnel syndrome, epinephrine, local anesthesia, Tourniquet, Walnat
نویسندگان مقاله | Gerardo Gallucci
1 Instituto de Ortopedia y Traumatología “Carlos E. Ottolenghi”. Servicio de Ortopedia y Traumatología Hospital Italiano de Buenos Aires, Argentina 2 Centro de Ortopedia y Traumatología Quilmes, Buenos Aires, Argentina


| Yanina Rosa
Centro de Ortopedia y Traumatología Quilmes, Buenos Aires, Argentina


| Walter Cerrutti
Centro de Ortopedia y Traumatología Quilmes, Buenos Aires, Argentina


| Ignacio Tanoira
Instituto de Ortopedia y Traumatología “Carlos E. Ottolenghi”. Servicio de Ortopedia y Traumatología Hospital Italiano de Buenos Aires, Argentina


| Ignacio Rellan
Instituto de Ortopedia y Traumatología “Carlos E. Ottolenghi”. Servicio de Ortopedia y Traumatología Hospital Italiano de Buenos Aires, Argentina
نشانی اینترنتی https://abjs.mums.ac.ir/article_22108.html
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نوع مقاله منتشر شده RESEARCH PAPER
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