踝关节骨折局麻开?对的,你没看错!
点击上方蓝字关注我们
踝关节骨折通常采用全身麻醉或椎管麻醉,局部麻醉在手外科及浅表组织手术中运用较多,在踝关节骨折ORIF中的应用未见报道。
————参考文献:Tahir M, Chaudhry EA, Ahmed N, Mamoon AH, Ahmad M, Jamali AR, Mehboob G. Ankle Fracture Fixation with Use of WALANT (Wide Awake Local Anesthesia with No Tourniquet) Technique: An Attractive Alternative for the Austere Environment. J Bone Joint Surg Am. 2021 Mar 3;103(5):397-404.
局部麻醉手外科及浅表软组织中应用广泛,但在骨折内固定使用中应用较少。
为探讨局部麻醉在踝关节骨折切开复位中的应用,果然学者对此进行了研究,该结果发表在2021.03 JBJS期刊上。
(Wide awake local anesthesia with no tourniquet (WALANT) is a simple technique that has had successful application in hand surgery. When utilized in the plating of distal radial fractures, the WALANT technique has proven to be a cost-effective approach in orthopaedic trauma. The aim of the present study was to assess the applicability of the WALANT technique in open reduction and internal fixation of ankle fractures.)
(Fifty-eight patients were recruited from October 2016 to September 2018. Fractures were categorized according to the OTA/AO classification. We did not include patients with Maisonneuve, talar, or posterior malleolar fractures. Mechanism of injury, fracture type, comorbidities, and complications were recorded. The surgical site was infiltrated to achieve local anesthesia using a solution of 0.9% normal saline solution and 2% lidocaine with 1:1,000,000 epinephrine. Functional outcomes were assessed at the time of fracture union with use of the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot Scale.)
(The WALANT technique is a safe technique for ankle fracture fixation and has been shown to be useful in foot and ankle surgery, particularly in limited-resource environments.)
扫描二维码
获取更多资源
骨科青年
------------------------------
-------------------------------