Segal Kathryn R, Debasitis Alexandria, Koehler Steven M
Department of Orthopaedic Surgery, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10461, USA.
J Clin Med. 2022 Jul 3;11(13):3854. doi: 10.3390/jcm11133854.
As surgical management of carpal tunnel release (CTR) becomes ever more common, extensive research has emerged to optimize the contextualization of this procedure. In particular, CTR under the wide-awake, local-anesthesia, no-tourniquet (WALANT) technique has emerged as a cost-effective, safe, and straightforward option for the millions who undergo this procedure worldwide. CTR under WALANT is associated with considerable cost savings and workflow efficiencies; it can be safely and effectively executed in an outpatient clinic under field sterility with less use of resources and production of waste, and it has consistently demonstrated standard or better post-operative pain control and satisfaction among patients. In this review of the literature, we describe the current findings on CTR using the WALANT technique.
随着腕管松解术（CTR）的外科治疗变得越来越普遍，出现了大量研究以优化该手术的背景情况。特别是，在清醒、局部麻醉、无止血带（WALANT）技术下进行的CTR已成为全球数百万接受该手术患者的一种经济高效、安全且简便的选择。在WALANT技术下进行CTR可节省大量成本并提高工作流程效率；它可以在门诊诊所的局部无菌条件下安全有效地实施，资源使用和废物产生较少，并且一直显示出患者术后疼痛控制达到标准或更佳，患者满意度较高。在这篇文献综述中，我们描述了使用WALANT技术进行CTR的当前研究结果。
