ReviewEFORT open reviews2024
WALANT surgery of the hand: state of the art.
Review in EFORT open reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
22 citing papers in PubMed.
- Non-tourniquet strategy with high-position low-perfusion in distal humeral fracture surgery: reduces swelling without increasing blood loss.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Trial
- WALANT Versus Sedation for Hand Trauma: A Comparative Cost Analysis in a Portuguese Public Hospital.Plastic and reconstructive surgery. Global open · 2026Article
- Commentary: Cubital Tunnel Release Under Local and Regional Anesthesia: A Scoping Review.Plastic surgery (Oakville, Ont.) · 2026Article
- What's New in Wide-Awake Local Anesthesia No Tourniquet (WALANT) Hand Surgery?Journal of hand surgery global online · 2026Review
- Review
- Randomized Prospective Study Comparing Wide-Awake Local Anesthesia No Tourniquet (WALANT) and Locoregional Anesthesia in Minimally Invasive Hallux Valgus Surgery: Preliminary Results.Foot & ankle orthopaedics · 2026Article
- Lean and Green Hand Surgery in the Office: Does It Work?Journal of hand surgery global online · 2026Article
- Late-Onset Digital Ischaemia after WALANT: Successful Reversal with Off-Label Urapidil.Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... · 2026Article
- A systematic review of the Wide Awake Local Anesthesia no Tourniquet (WALANT) approach in pediatric hand surgery.JPRAS open · 2026Review
- Patient Satisfaction and Perioperative Outcomes of Wide-Awake Local Anesthesia No Tourniquet Versus Supraclavicular Peripheral Nerve Block in Elective Hand and Forearm Surgery: A Prospective Comparative Study.Journal of clinical medicine · 2026Article
- What's New in Hand Surgery: Transformative advancements and Emerging Trends.Orthopedic reviews · 2026Article
- Article
- Modified percutaneous needle aponeurotomy for Dupuytren's disease: case series with functional outcome.Musculoskeletal surgery · 2025Article
- The Effect of Tourniquet Deflation Timing on Outcomes of Common Upper Extremity Surgeries.Cureus · 2025Article
- WALANT vs. Brachial plexus block with tourniquet in zone 2 flexor tendon repair: An evidence-based comparison.Journal of hand and microsurgery · 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
- The emerging field of ultrasound-guided nerve decompression surgery: a narrative review.International orthopaedics · 2025Review
- Surgical repair of multiple pulley injuries with proximal interphalangeal joint contracture under WALANT.Journal of hand and microsurgery · 2025Article
- Unusual Symptoms of Lacertus Syndrome: A Case Report.Journal of clinical medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Wide-awake local anesthesia no tourniquet is named the WALANT technique. WALANT has had a major positive impact on cost, convenience, ecology, patient satisfaction, access to surgical care, and outcomes in hand surgery in the last 20 years. Safe and efficient application of the technique is based on two principles. The first principle is the tumescent injection of a large volume low concentration 0.25-1% lidocaine, with 1:100 000-1:400 000 epinephrine. The second principle of WALANT is that the proper injection should be almost painless, with the patient only feeling the first needle poke of a tiny 30G needle. This wide awake patient approach reduces pain, neuropraxia, and systemic side effects of sedation with preservation of motor control, thereby aiding balanced reconstruction in hand surgery.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.