Comparison of the effectiveness of the WALANT method in soft tissue and bone tissue surgeries in lower extremities
1Department of Orthopedics and Traumatology, Harran University Medicine Faculty, Şanlıurfa, Türkiye
2Department of Anesthesia and Reanimation, Harran University Medicine Faculty, Şanlıurfa, Türkiye
3Department of Orthopedics and Traumatology, Şanlıurfa Training and Research Hospital, Şanlıurfa, Türkiye
Keywords: Local anesthesia, lower extremity, wide-awake local anesthesia with no tourniquet.
Objectives: This study aims to investigate the effectiveness of wide-awake local anesthesia with no tourniquet (WALANT) technique in both bony and soft tissue procedures in lower extremities.
Patients and methods: Between January 2021 and December 2022, a total of 29 patients (20 males, 9 females; mean age: 34.6±20.2 years; range, 14 to 82 years) who were operated for lower extremity pathologies with the WALANT technique in our clinic were included. The patients were divided into two groups: lower extremity soft tissue surgeries in Group A (n=10) and bone tissue surgeries in Group B (n=19). Postoperative pain onset time, pain score, the amount of intraoperative bleeding, need for additional solution, use of cautery, and the amount of bleeding in the surgical field were compared within groups. The Visual Analog Scale (VAS) was used to evaluate pain.
Results: There was no significant difference between the two groups in terms of age (p=0.265), sex (p=0.107), and surgical side (p=0.700). There was no significant difference between the two groups in terms of intraoperative bleeding at the discretion of the surgeon (p=0.701). There was no significant difference in the use of additional solution (p=0.105), cautery usage (p=0.522), pain onset time (p=0.636), and VAS scores (p=0.735) between the two groups.
Conclusion: Our study results suggest that the WALANT technique is an effective and safe method in selected lower extremity surgeries. It is of utmost importance to apply the technique correctly to prevent complications that may occur.
Citation: Çetin BV, Kaptan AY, Orhan Ö, Altay MA, Altay N, Demir S, et al. Comparison of the effectiveness of the WALANT method in soft tissue and bone tissue surgeries in lower extremities. Jt Dis Relat Surg 2023;34(2):439-444. doi: 10.52312/jdrs.2023.1025.
The study protocol was approved by the Harran University Clinical Research Ethics Committee (date: 04.01.2021, no: E-76244175-050.04.04-4549). The study was conducted in accordance with the principles of the Declaration of Helsinki.
Idea/concept, materials, writing the article, critical review, analysis and/or interpretation, literature review: B.V.Ç.; Design, writing the article, critical review, analysis and/or interpretation, literature review: A.Y.K.; Analysis and/or interpretation, critical review: Ö.O.; Control/ supervision, analysis and/or interpretation: M.A.A.; Control/ supervision, data collection and/or processing: N.A.; Materials, data collection and/or processing: S.D., M.D.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.
A written informed consent was obtained from the parents and/or legal guardians of the patients.
The data that support the findings of this study are available from the corresponding author upon reasonable request.