Wide Awake Surgery as an Opportunity to Enhance Clinical Research

Verena J.M.M. Festen-Schrier, Peter C. Amadio

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


Wide Awake surgery under Local Anesthesia with No Tourniquet (WALANT) has revolutionized clinical hand surgery, improving clinical outcomes and reducing postoperative pain and morbidity. It can also be used to deepen scientific knowledge, because the unsedated patient, with sensation intact and without the adverse effects of tourniquet neurapraxia or paralysis, can follow commands and actively move the limb after tendon and nerve surgery. These movements can be correlated with fingertip force, tendon tension, nerve conduction and amplitude, and muscle sarcomere length measurements to develop new insights into the effectiveness of many different tendon and nerve procedures in the hand.

Original languageEnglish (US)
Pages (from-to)93-96
Number of pages4
JournalHand Clinics
Issue number1
StatePublished - Feb 2019


  • Human
  • Muscle
  • Nerve
  • Physiology
  • Tendon

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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