Wide Awake Surgery as an Opportunity to Enhance Clinical Research

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

Research output: Contribution to journalReview article

Abstract

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
Volume35
Issue number1
DOIs
StatePublished - Feb 1 2019

Fingerprint

Tendons
Tourniquets
Hand
Research
Sarcomeres
Neural Conduction
Local Anesthesia
Postoperative Pain
Paralysis
Extremities
Morbidity
Muscles

Keywords

  • Human
  • Muscle
  • Nerve
  • Physiology
  • Tendon

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Wide Awake Surgery as an Opportunity to Enhance Clinical Research. / Festen-Schrier, Verena J.M.M.; Amadio, Peter C.

In: Hand Clinics, Vol. 35, No. 1, 01.02.2019, p. 93-96.

Research output: Contribution to journalReview article

Festen-Schrier, Verena J.M.M. ; Amadio, Peter C. / Wide Awake Surgery as an Opportunity to Enhance Clinical Research. In: Hand Clinics. 2019 ; Vol. 35, No. 1. pp. 93-96.
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