SynthesisHand (New York, N.Y.)2024
Fixation of Distal Radius Fractures Under Wide-Awake Local Anesthesia: A Systematic Review.
Synthesis in Hand (New York, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed.
- WALANT Versus Sedation for Hand Trauma: A Comparative Cost Analysis in a Portuguese Public Hospital.Plastic and reconstructive surgery. Global open · 2026Article
- Reassessing the Necessity of Group and Save Testing in Ambulatory Orthopedic Peripheral Limb Trauma Surgery.Cureus · 2025Article
- Hand Surgery Anaesthesia Innovations: Balancing Efficiency, Cost, and Comfort with WALANT, Ultrasound, and Emerging Adjuncts-A Narrative Review.Journal of clinical medicine · 2025Review
- Article
- Evaluating patient satisfaction with WALANT for hand surgery: a comprehensive questionnaire-based study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- WALANT surgery of the hand: state of the art.EFORT open reviews · 2024Review
- A systematic review of tourniquet use in paediatric orthopaedic surgery: can we extrapolate from adult guidelines?EFORT open reviews · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this systematic review was to analyze the available literature on fixation of distal radius fractures (DRFs) under wide-awake local anesthesia no-tourniquet (WALANT), and to examine postoperative pain scores and functional outcomes, operative data including operative time and blood loss, and the frequency of adverse events.
methodsEmbase, MEDLINE, Web of Science, and SCOPUS were searched from inception until May 2022 for relevant studies. Studies were screened in duplicate, and data on pain scores, functional outcomes, and adverse events were recorded. Due to methodological and statistical heterogeneity, the results are presented in a descriptive fashion.
resultsTen studies were included comprising 456 patients with closed, unilateral DRFs, of whom 226 underwent fixation under WALANT. These patients had a mean age of 52.8 ± 8.3 years, were 48% female, and had a mean follow-up time of 11.6 months (range: 6-24). Operative time for WALANT patients averaged 60.4 ± 6.5 minutes, with mean postoperative pain scores of 1.4 ± 0.6 on a 10-point scale. Studies that compared WALANT to general anesthesia found shorter hospital stays with most WALANT patients being sent home the same day, decreased postoperative pain scores, and decreased costs to the healthcare system. No adverse events were reported for WALANT patients.
conclusionsA growing body of literature reports that for closed, unilateral DRF, surgical fixation under WALANT is a safe and effective option. It allows patients to have surgery sooner, with improved pain scores and good functional outcomes, with a very low incidence of adverse events.
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