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Wrist Hemiarthroplasty of Irreparable Distal Radius Fracture under Wide-Awake Local Anesthetic and No Tourniquet

Distal radius fractures (DRF) are common in elderly patients and the incidence continues to increase with the aging of the population. For irreparable fractures in the elderly, treatment with a reduction cast leads to unreliable results and frequent complications when treated with an anterior plate....

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Autores principales: Apard, Thomas, Odoemene, Melissa, Descamps, Jules
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9605417/
https://www.ncbi.nlm.nih.gov/pubmed/36295059
http://dx.doi.org/10.3390/life12101624
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author Apard, Thomas
Odoemene, Melissa
Descamps, Jules
author_facet Apard, Thomas
Odoemene, Melissa
Descamps, Jules
author_sort Apard, Thomas
collection PubMed
description Distal radius fractures (DRF) are common in elderly patients and the incidence continues to increase with the aging of the population. For irreparable fractures in the elderly, treatment with a reduction cast leads to unreliable results and frequent complications when treated with an anterior plate. Recent studies on hemiarthroplasty for elderly complex wrist fractures have resulted in good clinical and radiologic outcomes, as well as high satisfaction rates. Incorporating wide-awake local anesthesia and no tourniquet (WALANT) in surgical management is beneficial in DRF plating. This technique has not been performed in wrist hemiarthroplasty for an irreparable fracture in an elderly osteoporotic woman. This article describes the WALANT procedure for wrist hemiarthroplasty in a single case, with a detailed description of the technique.
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spelling pubmed-96054172022-10-27 Wrist Hemiarthroplasty of Irreparable Distal Radius Fracture under Wide-Awake Local Anesthetic and No Tourniquet Apard, Thomas Odoemene, Melissa Descamps, Jules Life (Basel) Case Report Distal radius fractures (DRF) are common in elderly patients and the incidence continues to increase with the aging of the population. For irreparable fractures in the elderly, treatment with a reduction cast leads to unreliable results and frequent complications when treated with an anterior plate. Recent studies on hemiarthroplasty for elderly complex wrist fractures have resulted in good clinical and radiologic outcomes, as well as high satisfaction rates. Incorporating wide-awake local anesthesia and no tourniquet (WALANT) in surgical management is beneficial in DRF plating. This technique has not been performed in wrist hemiarthroplasty for an irreparable fracture in an elderly osteoporotic woman. This article describes the WALANT procedure for wrist hemiarthroplasty in a single case, with a detailed description of the technique. MDPI 2022-10-18 /pmc/articles/PMC9605417/ /pubmed/36295059 http://dx.doi.org/10.3390/life12101624 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Apard, Thomas
Odoemene, Melissa
Descamps, Jules
Wrist Hemiarthroplasty of Irreparable Distal Radius Fracture under Wide-Awake Local Anesthetic and No Tourniquet
title Wrist Hemiarthroplasty of Irreparable Distal Radius Fracture under Wide-Awake Local Anesthetic and No Tourniquet
title_full Wrist Hemiarthroplasty of Irreparable Distal Radius Fracture under Wide-Awake Local Anesthetic and No Tourniquet
title_fullStr Wrist Hemiarthroplasty of Irreparable Distal Radius Fracture under Wide-Awake Local Anesthetic and No Tourniquet
title_full_unstemmed Wrist Hemiarthroplasty of Irreparable Distal Radius Fracture under Wide-Awake Local Anesthetic and No Tourniquet
title_short Wrist Hemiarthroplasty of Irreparable Distal Radius Fracture under Wide-Awake Local Anesthetic and No Tourniquet
title_sort wrist hemiarthroplasty of irreparable distal radius fracture under wide-awake local anesthetic and no tourniquet
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9605417/
https://www.ncbi.nlm.nih.gov/pubmed/36295059
http://dx.doi.org/10.3390/life12101624
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