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清醒麻醉下无止血带的大多角骨-掌骨关节假体植入术

Wide-awake Anesthesia No Tourniquet Trapeziometacarpal Joint Prosthesis Implantation.

作者信息

Müller Camillo Theo, Christen Thierry, Heidekruger Paul I, Lamouille Jessie, Raffoul Wassim, McKee Daniel, Lalonde Donald H, Durand Sébastien

机构信息

Department of the Musculoskeletal System, Hand and Plastic and Reconstructive Surgery, CHUV, Lausanne, Switzerland.

Centre of Plastic, Aesthetic, Hand and Reconstructive Surgery, University of Regensburg, Germany.

出版信息

Plast Reconstr Surg Glob Open. 2018 Apr 4;6(4):e1714. doi: 10.1097/GOX.0000000000001714. eCollection 2018 Apr.

DOI:10.1097/GOX.0000000000001714
PMID:29876166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5977952/
Abstract

Wide awake local anesthesia no tourniquet (WALANT) hand surgery is a rapidly growing in popularity. WALANT has been used by hand surgeons when operating on bones, tendons, ligaments, nerve entrapments. We offer a case report of the first case in the literature describing WALANT technique when performing trapeziometacarpal joint arthroplasty with prosthesis implantation. We offer technical points on how to perform this procedure and the advantages that are associated with using WALANT for prosthesis arthroplasty.

摘要

清醒局部麻醉无止血带（WALANT）手部手术正迅速普及。手部外科医生在对骨骼、肌腱、韧带、神经卡压进行手术时会采用WALANT技术。我们提供了一例文献报道的首例病例，描述了在进行人工关节置换的大多角骨-第一掌骨关节置换术时使用WALANT技术的情况。我们给出了关于如何实施该手术的技术要点以及使用WALANT进行人工关节置换术的相关优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/5977952/fee6c8998345/gox-6-e1714-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/5977952/02e92dd7619d/gox-6-e1714-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/5977952/5d22c2ad8006/gox-6-e1714-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/5977952/cb099ed1a7cf/gox-6-e1714-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/5977952/fee6c8998345/gox-6-e1714-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/5977952/02e92dd7619d/gox-6-e1714-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/5977952/5d22c2ad8006/gox-6-e1714-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/5977952/cb099ed1a7cf/gox-6-e1714-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/5977952/fee6c8998345/gox-6-e1714-g004.jpg

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J Wrist Surg. 2016 May;5(2):131-6. doi: 10.1055/s-0036-1571283. Epub 2016 Jan 15.
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Clin Orthop Surg. 2015 Sep;7(3):275-81. doi: 10.4055/cios.2015.7.3.275. Epub 2015 Aug 13.
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Putting it all together: recommendations for improving pain management in plastic surgical procedures: hand surgery.
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