The WALANT Technique in Osteotomy and Bone Elongation for Brachymetatarsia: A Case Report
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Abstract
Introduction: Brachydactyly (BD) is considered a genetic malformation that can cause disproportionately short fingers and toes. The incidence ranges from 0.0% up to 0.05%, with a predilection for females. On the other hand, the Walant anesthetic technique is safe and effective and uses epinephrine, lidocaine, and sodium bicarbonate.
Case presentation: A 50-year-old female diagnosed with BD was scheduled for an elective osteotomy with a bone elongator. During the procedure, we used the Walant technique, which does not require intravenous sedation or supplementary oxygen.
Clinical discussion: Hand surgery is one of the most common procedures and usually requires the use of a tourniquet for hemostatic control, creates pain and makes the use of sedation necessary. In this case, we explained how the Walant technique can be beneficial in cases with BD.
Conclusion: The Walant technique proves anesthesia and avoids the use of tourniquet and sedation, decreasing surgical times, optimizing surgical supplies, and decreasing costs and post-anesthetic recovery. It can be used as a first-line anesthetic option in selected procedures, including tendon repairs and carpal tunnel release.
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