Wide-awake anesthesia for olecranon fracture fixation
Document Type
Article
Publication Date
1-1-2021
Abstract
Wide-awake local anesthesia and no tourniquet (WALANT) has come a long way. It has been reported to be successful in the surgery of distal radius and ulna fractures. We report a case of olecranon fracture plating under WALANT. Methods: Surgery was performed with the patient fully conscious where tumescent anesthesia was injected into the surgical site without application of tourniquet 30 minutes before the first incision. Posterior approach to the elbow was used, and the fracture was fixed with anatomical locking plates. Results: The surgery was successfully completed without pain. The numerical pain rating score was 0 throughout the surgery. Conclusions: The use of WALANT for surgical fixation can be expanded beyond the hand and wrist. This is a safe and simple option for patients at high risk of general anesthesia, producing similar surgical outcomes without intraoperative and postoperative complications. © The Author(s) 2019.
Keywords
WALANT, Elbow fractures, Lidocaine, Local anesthesia, Open reduction and internal fixation, Plating
Divisions
fac_med
Publication Title
Hand
Volume
16
Issue
3
Publisher
Sage