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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2020, Number 1

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An Med Asoc Med Hosp ABC 2020; 65 (1)

Flexor tendon repair with WALANT technique: surgical technique and concomitant lesions

Romo RR, Pareyón VRP

Language: Spanish
References: 15
Page: 16-22
PDF size: 1197.22 Kb.


ABSTRACT

Introduction: Wide awake local anesthesia no tourniquete has gained popularity in recent decades to perform various hand and wrist surgeries. We consider that this technique has a great value, particularly in flexor tendon surgery because it allows to dynamically corroborate the resistance of the repair and the adequate tendon path. It also actively involves the patient during the surgical act, allowing him to verify the quality and functionality of the repair, thus motivating him to do the rehabilitation process. Objective: Is to demonstrate, through a series of patients, tha bility to avoid complications and obtain good results with WALANT technique and reconstruction of flexor tendon injuries. Material and methods: This paper presents a series of eight patients undergoing surgery of flexor tendons in wich the WALANT technique was used. Thes cases exemplify the entire spectrum of flexor tendon surgery including primary repair, reconstruction in one and two times and tenolysis. Results: The results achieved with this surgical technique are comparable to those achieved with traditional techniques but with several advantages such as lower cost, less complications and the capacity to evaluate the repair during surgery. There were no complications attributable to the anesthesic technique. Conclusion: Wiht this series of patients it is concluded that de WALANT technique is highly recommended for flexor tendon reconstruction surgery, due to its adequate transoperative verification and the low complication rate and low cost.


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