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首页> 外文期刊>Journal of International Medical Research >Open reduction and internal fixation of intra-articular distal radius fractures under wide-awake local anesthesia with no tourniquet
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Open reduction and internal fixation of intra-articular distal radius fractures under wide-awake local anesthesia with no tourniquet

机译：完全清醒局麻下无止血带的关节distal骨远端骨折的切开复位内固定

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Objective The use of wide-awake local anesthesia with no tourniquet (WALANT) is becoming an excellent alternative for elective hand surgeries and hand surgeries involving minor trauma. Although the use of WALANT for some soft tissue surgeries has become the state of the art, data regarding bony procedures, such as fracture management, under WALANT are limited. This study was performed to assess the WALANT technique for open reduction and internal fixation of distal radius fractures. Methods Five patients with displaced distal radius fractures were enrolled in the study. WALANT was carried out about 30 minutes prior to the first incision. Surgery was performed in the normal fashion, and the fractures were fixed using anatomic locking plates. After surgery, the patients were admitted overnight for observation and pain assessment, and they were discharged within 24 hours postoperatively. Intraoperative and postoperative complications were recorded. Follow-up was performed in our outpatient clinic. No abnormalities were recorded. Results All patients underwent a successful painless surgery. No extra bleeding or other complications were recorded. Conclusion The WALANT technique offers a simple and safe alternative to traditional anesthetic techniques for open reduction and plating of distal radius fractures.
机译：目的使用不带止血带的全清醒局部麻醉（WALANT）正成为选择性手外科手术和涉及轻度创伤的手外科手术的绝佳选择。尽管在某些软组织外科手术中使用WALANT已成为最新技术，但有关WALANT下的骨性手术（例如骨折处理）的数据仍然有限。进行这项研究以评估WALANT技术对open骨远端骨折的切开复位和内固定。方法纳入5例distal骨远端远端骨折的患者。第一次切口前约30分钟进行WALANT。以常规方式进行手术，并使用解剖型锁定板固定骨折。手术后，患者入院过夜观察和疼痛评估，并在术后24小时内出院。记录术中和术后并发症。在我们的门诊诊所进行了随访。没有记录到异常。结果所有患者均成功完成了无痛手术。没有记录到额外的出血或其他并发症。结论WALANT技术为traditional骨远端骨折的切开复位复位钢板提供了一种简单，安全的替代传统麻醉技术的方法。

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