Our Summary

This research paper talks about a technique used in wrist and small joint surgeries called “WALANT” (Wide-Awake Local Anesthesia No Tourniquet). Because these surgeries are minimally invasive, the WALANT method is a fitting choice. This technique allows doctors to clearly see and understand the movement of a joint, both when it is still and in motion. It also allows them to identify and discuss any issues (pathology) with the patient. Furthermore, they can see how well a patient’s body has healed after surgery. This technique not only gives surgeons more confidence in their work, but also helps patients understand their condition better, making them more likely to follow through with the necessary steps after surgery to fully recover.

FAQs

  1. What is the WALANT technique in wrist and small joint arthroscopy?
  2. How does the application of WALANT in wrist arthroscopy benefit surgeons and patients?
  3. How does the WALANT technique aid in postoperative rehabilitation?

Doctor’s Tip

A doctor might tell a patient that wrist arthroscopy, especially when performed using the wide-awake local anesthesia no tourniquet (WALANT) technique, allows for better visualization of the joint and its movements. This can help the surgeon accurately identify and address any issues, leading to better outcomes for the patient. Additionally, the minimally invasive nature of wrist arthroscopy means faster recovery times and less postoperative pain compared to traditional open surgery. It is important for the patient to follow their doctor’s postoperative rehabilitation plan to ensure a successful recovery.

Suitable For

Patients who are typically recommended for wrist arthroscopy include those with persistent wrist pain, limited range of motion, wrist instability, suspected ligament tears, cartilage injuries, ganglion cysts, and arthritis. Wrist arthroscopy can help diagnose and treat these conditions with minimal incisions and a faster recovery time compared to traditional open surgery. Additionally, patients who are good candidates for the wide-awake local anesthesia no tourniquet (WALANT) technique may also benefit from wrist arthroscopy as it allows for real-time visualization of the joint and immediate feedback from the patient during the procedure.

Timeline

Before wrist arthroscopy:

  1. Patient meets with orthopedic surgeon to discuss symptoms and potential treatment options.
  2. Patient undergoes physical examination and imaging tests to confirm the need for wrist arthroscopy.
  3. Patient is informed about the procedure, risks, and benefits, and consents to surgery.
  4. Patient may undergo preoperative testing and preparation.
  5. Patient may be instructed to stop certain medications prior to surgery.

After wrist arthroscopy:

  1. Patient wakes up from surgery in the recovery room.
  2. Patient may experience some pain and discomfort, which can be managed with medication.
  3. Patient is monitored for any complications and may be discharged home the same day.
  4. Patient is instructed on postoperative care, including wound care, activity restrictions, and rehabilitation exercises.
  5. Patient follows up with the surgeon for a postoperative visit to assess healing and discuss further treatment if needed.

What to Ask Your Doctor

  1. What is wrist arthroscopy and how can it help with my condition?
  2. Am I a good candidate for wrist arthroscopy?
  3. What are the potential risks and complications associated with wrist arthroscopy?
  4. How long will the procedure take and what is the expected recovery time?
  5. Will I need physical therapy or rehabilitation after the procedure?
  6. How successful is wrist arthroscopy in treating my specific condition?
  7. Are there any alternative treatments or procedures that I should consider?
  8. Will I be awake during the procedure and how will pain be managed?
  9. How many wrist arthroscopy procedures have you performed and what is your success rate?
  10. What can I expect in terms of pain and mobility after the procedure?

Reference

Authors: Liu B, Ng CY, Arshad MS, Edwards DS, Hayton MJ. Journal: Hand Clin. 2019 Feb;35(1):85-92. doi: 10.1016/j.hcl.2018.08.010. PMID: 30470335