Saba Kiran, Faisal Akhlaq Ali Khan, Hyder Ali, Maha Farhina, Sadaf Gulzar, Sobia Rashid.
Wide Awake Local Anesthesia no Tourniquet (WALANT) Surgery for Tendon Repair in Hand Trauma.
Pak Armed Forces Med J Jan ;72(3):966-70.

Objective: To compare the functional outcomes in terms of active range of motion for tendon repair surgeries under wideawake local anaesthesia versus general anaesthesia. Study design: Comparative prospective study. Place and Duration of Study: Department of Plastic & Reconstructive Surgery, Dr Ruth K.M. Pfau Civil Hospital Karachi Pakistan, from Jan to Sep 2020. Methodology: Patients of either gender of age 15 years or above with hand injuries with tendon repair required, operated within the hospital premises were included in the study using the non-probability consecutive sampling technique. Individuals who were operated on under wide-awake local anaesthesia were taken as approach arms (n=65). While the patients undergoing tendon repair under general anaesthesia were considered as the study's control arm (n=65). The final functional outcomes were assessed in the sixth week of the surgery by calculating the total active range of motion. Results: For the range of motion of the injured finger in the general anaesthesia group, 25 (38.5%) had excellent outcomes, 14 (21.5%) had a good outcome, and 8 (12.3%) had fair outcomes, while in the WALANT group, 30 (46.2%) had excellent outcome, 16 (24.6%) had a good outcome and 12 (18.5%) had a fair outcome. There was no relationship between the range of motion of the injured finger and the group (p=0.101). Conclusion: The functional outcomes in active range of motion are better in the WALANT approach than in general anaesthesia.

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