Corrective Tendon Repair with Local Anesthesia following Wrist-level Replantation
Summary:. Wide-awake local anesthesia with no tourniquet has become a popular method to ensure correct tendon condition intraoperatively. We report the case of a 17-year-old man who underwent nearly total left wrist amputation and successful replantation. The misconnection of flexor tendons between...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-03-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004218 |
| _version_ | 1818307894627532800 |
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| author | Yi Lu, MD Chi-Ying Hsieh, MD Che-Ning Chang, MD Ke-Chung Chang, MD Dun-Hao Chang, MD |
| author_facet | Yi Lu, MD Chi-Ying Hsieh, MD Che-Ning Chang, MD Ke-Chung Chang, MD Dun-Hao Chang, MD |
| author_sort | Yi Lu, MD |
| collection | DOAJ |
| description | Summary:. Wide-awake local anesthesia with no tourniquet has become a popular method to ensure correct tendon condition intraoperatively. We report the case of a 17-year-old man who underwent nearly total left wrist amputation and successful replantation. The misconnection of flexor tendons between the thumb, index, and middle finger was found postoperatively. At 1.5 months postreplantation, simultaneous tenolysis and corrective tendon repair were performed under local anesthesia. The proximal tendon origins were confirmed intraoperatively with the patient awake. Six months after replantation, the patient underwent extensor pollicis longus tendon shortening and pulley reconstruction under wide-awake local anesthesia with no tourniquet for thumb extension lag. After adequate rehabilitation, the functional outcome was satisfactory. This case report demonstrates that local anesthesia is a judicious method to intraoperatively facilitate correct tendon repair, tension adjustment, and direct conversation between the surgeon and the patient. |
| first_indexed | 2024-12-13T07:05:38Z |
| format | Article |
| id | doaj.art-522ef58e48a94c6ca53d9e24b70e3ea8 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-13T07:05:38Z |
| publishDate | 2022-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-522ef58e48a94c6ca53d9e24b70e3ea82022-12-21T23:55:49ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-03-01103e421810.1097/GOX.0000000000004218202203000-00025Corrective Tendon Repair with Local Anesthesia following Wrist-level ReplantationYi Lu, MD0Chi-Ying Hsieh, MD1Che-Ning Chang, MD2Ke-Chung Chang, MD3Dun-Hao Chang, MD4From the * Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan† Division of Plastic and Aesthetic Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan‡ Department of General Medicine, Mackay Memorial Hospital, Taipei City, Taiwan† Division of Plastic and Aesthetic Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan† Division of Plastic and Aesthetic Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, TaiwanSummary:. Wide-awake local anesthesia with no tourniquet has become a popular method to ensure correct tendon condition intraoperatively. We report the case of a 17-year-old man who underwent nearly total left wrist amputation and successful replantation. The misconnection of flexor tendons between the thumb, index, and middle finger was found postoperatively. At 1.5 months postreplantation, simultaneous tenolysis and corrective tendon repair were performed under local anesthesia. The proximal tendon origins were confirmed intraoperatively with the patient awake. Six months after replantation, the patient underwent extensor pollicis longus tendon shortening and pulley reconstruction under wide-awake local anesthesia with no tourniquet for thumb extension lag. After adequate rehabilitation, the functional outcome was satisfactory. This case report demonstrates that local anesthesia is a judicious method to intraoperatively facilitate correct tendon repair, tension adjustment, and direct conversation between the surgeon and the patient.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004218 |
| spellingShingle | Yi Lu, MD Chi-Ying Hsieh, MD Che-Ning Chang, MD Ke-Chung Chang, MD Dun-Hao Chang, MD Corrective Tendon Repair with Local Anesthesia following Wrist-level Replantation Plastic and Reconstructive Surgery, Global Open |
| title | Corrective Tendon Repair with Local Anesthesia following Wrist-level Replantation |
| title_full | Corrective Tendon Repair with Local Anesthesia following Wrist-level Replantation |
| title_fullStr | Corrective Tendon Repair with Local Anesthesia following Wrist-level Replantation |
| title_full_unstemmed | Corrective Tendon Repair with Local Anesthesia following Wrist-level Replantation |
| title_short | Corrective Tendon Repair with Local Anesthesia following Wrist-level Replantation |
| title_sort | corrective tendon repair with local anesthesia following wrist level replantation |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004218 |
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