Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report
Wide-awake local anaesthesia, no tourniquet (WALANT) has been reported for upper extremity procedures of varying complexities ranging from simple tendon repairs to more complicated soft tissue and bony reconstructions. Hemihamate arthroplasty under WALANT has yet to be described in English literatur...
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| Format: | Article |
| Language: | English |
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Malaysian Orthopaedic Association
2023-11-01
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| Series: | Malaysian Orthopaedic Journal |
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| Online Access: | https://www.morthoj.org/2023/v17n3/PIPJ-fracture-dislocation.pdf |
| _version_ | 1797374909500882944 |
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| author | Magtoto IJ |
| author_facet | Magtoto IJ |
| author_sort | Magtoto IJ |
| collection | DOAJ |
| description | Wide-awake local anaesthesia, no tourniquet (WALANT) has been reported for upper extremity procedures of varying complexities ranging from simple tendon repairs to more complicated soft tissue and bony reconstructions. Hemihamate arthroplasty under WALANT has yet to be described in English literature. We report a case of a chronic dorsal PIPJ fracture-dislocation who underwent open reduction followed by Hemi-hamate Arthroplasty under wide-awake anaesthesia. There was adequate visualization during the surgery with no additional anaesthesia required. Active intraoperative range of motion and joint stability testing was possible with no pain experienced throughout the procedure. 10-month post-operative follow-up showed excellent range of motion with occasional tolerable pain during maximal finger flexion and power grip. Wide-awake anaesthesia is a viable and safe alternative for hemi-hamate arthroplasty. |
| first_indexed | 2024-03-08T19:12:35Z |
| format | Article |
| id | doaj.art-62458894c65e4751bd0f3d2c316c1865 |
| institution | Directory Open Access Journal |
| issn | 1985-2533 2232-111X |
| language | English |
| last_indexed | 2024-03-08T19:12:35Z |
| publishDate | 2023-11-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj.art-62458894c65e4751bd0f3d2c316c18652023-12-27T09:45:44ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2023-11-01173889110.5704/MOJ.2311.014Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report Magtoto IJ0Hand and Reconstructive Microsurgery Unit, Philippine Orthopedic Center, Quezon City, PhilippinesWide-awake local anaesthesia, no tourniquet (WALANT) has been reported for upper extremity procedures of varying complexities ranging from simple tendon repairs to more complicated soft tissue and bony reconstructions. Hemihamate arthroplasty under WALANT has yet to be described in English literature. We report a case of a chronic dorsal PIPJ fracture-dislocation who underwent open reduction followed by Hemi-hamate Arthroplasty under wide-awake anaesthesia. There was adequate visualization during the surgery with no additional anaesthesia required. Active intraoperative range of motion and joint stability testing was possible with no pain experienced throughout the procedure. 10-month post-operative follow-up showed excellent range of motion with occasional tolerable pain during maximal finger flexion and power grip. Wide-awake anaesthesia is a viable and safe alternative for hemi-hamate arthroplasty.https://www.morthoj.org/2023/v17n3/PIPJ-fracture-dislocation.pdfwalantpipj fracture-dislocationhemi-hamate arthroplasty |
| spellingShingle | Magtoto IJ Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report Malaysian Orthopaedic Journal walant pipj fracture-dislocation hemi-hamate arthroplasty |
| title | Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report |
| title_full | Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report |
| title_fullStr | Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report |
| title_full_unstemmed | Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report |
| title_short | Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report |
| title_sort | wide awake hemi hamate arthroplasty for chronic pipj fracture dislocation a case report |
| topic | walant pipj fracture-dislocation hemi-hamate arthroplasty |
| url | https://www.morthoj.org/2023/v17n3/PIPJ-fracture-dislocation.pdf |
| work_keys_str_mv | AT magtotoij wideawakehemihamatearthroplastyforchronicpipjfracturedislocationacasereport |