Wide-Awake Anesthesia for Olecranon Fracture Fixation

Amir Adham Ahmad, Shahril Shuhairi Sabari, Shairil Rahayu Ruslan, Shalimar Abdullah, Abdul Rauf Ahmad

Research output: Contribution to journalArticle

Abstract

Introduction: 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.

Original languageEnglish
JournalHand
DOIs
Publication statusPublished - 1 Jan 2019

Fingerprint

Olecranon Process
Tourniquets
Fracture Fixation
Local Anesthesia
Anesthesia
Ulna Fractures
Radius Fractures
Pain
Intraoperative Complications
Elbow
Wrist
General Anesthesia
Hand

Keywords

  • elbow fractures
  • lidocaine
  • local anesthesia
  • open reduction and internal fixation
  • plating
  • WALANT

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Wide-Awake Anesthesia for Olecranon Fracture Fixation. / Ahmad, Amir Adham; Sabari, Shahril Shuhairi; Ruslan, Shairil Rahayu; Abdullah, Shalimar; Ahmad, Abdul Rauf.

In: Hand, 01.01.2019.

Research output: Contribution to journalArticle

Ahmad, Amir Adham ; Sabari, Shahril Shuhairi ; Ruslan, Shairil Rahayu ; Abdullah, Shalimar ; Ahmad, Abdul Rauf. / Wide-Awake Anesthesia for Olecranon Fracture Fixation. In: Hand. 2019.
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