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Wide-Awake Olecranon Tension Band Wiring with Ipsilateral Zone 6 Extensor Tendon Repair: A Case Report.

Authors:
I J Magtoto

Malays Orthop J 2022 Mar;16(1):138-141

Department of Orthopaedics, The Medical City Clark, Mabalacat, Philippines.

Wide-awake local anaesthesia, no tourniquet (WALANT) continues to gain popularity and has been adapted for various fracture fixations proximal to the hand. A case of olecranon tension band wiring with concomitant extensor tendon repair is presented. The procedure was done with the patient awake in a lateral decubitus position 30min after the injection of WALANT solution at the intended surgical sites. Pain and discomfort were felt by the patient towards the end of the procedure mainly on his volar forearm where the bolster was placed. Olecranon fixation under WALANT is a viable alternative for patients who prefer to be awake or those with contraindications to general or regional anaesthesia. Alternative patient positioning may be considered, and perioperative pain control should not be overlooked.

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http://dx.doi.org/10.5704/MOJ.2203.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017904PMC
March 2022

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