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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....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9605417 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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