2026-06-29T22:09:25Zhttps://riubu.ubu.es/oai/request

oai:riubu.ubu.es:10259/100742025-03-28T12:12:44Zcom_10259_7906com_10259_5086com_10259_2604col_10259_8017

Saraiva, María do Rosario Sáiz Vázquez, Olalla Ortiz Huerta, Juan Hilario Santamaría Vázquez, Montserrat 2025-01-29T13:12:49Z 2025-01-29T13:12:49Z 2024 1863-9933 http://hdl.handle.net/10259/10074 10.1007/s00068-024-02579-8 1863-9941 Artículo de revisión Human hands have a complex anatomical structure. The thumb, being an integral part of the hand, has an essential function in gripping. In this sense, thumb fractures account for 4% of all hand fractures (it may occur in association with fractures of the trapezium). The majority of hand fractures should be treated non-surgically and surgeons must avoid unnecessary surgery. Historically, hand surgery has used a combination of local/regional/general anaesthesia and a tourniquet. This study aims to carry out a systematic review to determine whether the WALANT technique is an advantageous alternative to conventional anaesthesia for surgical procedures on thumb injuries, in terms of patient function and pain. Method: We conducted a search in the following databases: Pubmed/Medline, EBSCOhost, Web of Science, Scopus, ScienceDirect and Google Scholar, using the equation "WALANT" OR "Wide Awake Local Anesthesia No Tourniquet" AND "thumb pathology". Results: In five of the 584 articles included, two studied trapeziometacarpal osteoarthritis, one De Quervain's disease and the remaining two flexor injuries. WALANT showed good results in active movements, but with similar levels of pain between anaesthetics. Patients were more anxious during general anaesthesia, plus the fact that they were fasting and suspending medication. Conclusion: WALANT is a convenient and favourable option in several studies. It has been demonstrated the benefits in terms of return to function and pain. Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. This study was not funding. application/pdf eng Springer European Journal of Trauma and Emergency Surgery. 2024, V. 50, n. 6, p. 2833-2842 https://doi.org/10.1007/s00068-024-02579-8 Atribución 4.0 Internacional http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess (DeCS terms) pain Thumb Local anaesthesia Tourniquet Wounds and injuries General anaesthesia Terapia ocupacional Rehabilitación Occupational therapy Rehabilitation The wide-awake local anesthesia no tourniquet (WALANT) technique in thumb injuries: a systematic review info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion European Journal of Trauma and Emergency Surgery 50 6 2833 2842