Case Report
Year: 2019 | Month: December | Volume: 9 | Issue: 12 | Pages: 166-168
Scaphoid Fracture Fixation Using WALANT
Mandlenkosi Nkala1, Yathin Das2, Nikolas Jagodzinski3
1General Surgery, 2Associate Specialist Trauma and Orthopaedics, 3Consultant Trauma and Orthopaedics
North Devon District Hospital, Raleigh Heights, Barnstaple
Corresponding Author: Mandlenkosi Nkala
ABSTRACT
Regional or general anaesthesia has been the traditional preferred anaesthetic options for the fixation of scaphoid fractures. When using the general or regional anaesthesia (or both), most surgeons use a tourniquet to control bleeding. The Wide Awake Local with Adrenaline No Tourniquet (WALANT) technique is yet to be described for scaphoid fracture internal fixation. We present a case of a 33 year male driving instructor, who presented with a fracture across the waist of the scaphoid. Percutaneous fixation of the scaphoid was done using WALANT. The patient made good progress, and at six months review, his fracture was almost completely healed. This case report shows that WALANT can be safely and successfully used for fixation of scaphoid fractures.
Key words: Scaphoid Fracture, Fixation, Wide Awake Local with Adrenaline No Tourniquet (WALANT)