Evidence map›Paper›PMID 39744295›Full record

ReviewCureus2024

Wide Awake Local Anaesthesia No Tourniquet Surgery of the Foot and Ankle: A Review of Indications, Technique, Patient Satisfaction, and Complications.

Muhammad A Hamid, Zubair Younis, Muhammad Mannan, Zikrullah Kalim, Zafar A Khan, Rudra M Prabhu, Nayan Shrivastava, Nadia Rashid

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Muhammad A HamidOrthopaedic Surgery, University Hospitals Birmingham, Birmingham, GBR.
Zubair YounisOrthopaedic Surgery, The Royal Wolverhampton NHS Trust, Wolverhampton, GBR.
Muhammad MannanOrthopaedic Surgery, University Hospitals Birmingham, Birmingham, GBR.
Zikrullah KalimAnaesthesiology and Critical Care, Royal Wolverhampton NHS Trust, Wolverhampton, GBR.
Zafar A KhanTrauma and Orthopaedics, Worcestershire Acute Hospitals Trust, Worcestershire, GBR.
Rudra M PrabhuTrauma and Orthopaedics, University Hospitals Birmingham, Birmingham, GBR.
Nayan ShrivastavaTrauma and Orthopaedics, University Hospitals Birmingham, Birmingham, GBR.
Nadia RashidHistopathology, Government Medical College, Srinagar, Srinagar, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wide-awake surgery of the hand was surrounded by a lot of apprehension, mainly over concerns around using epinephrine near digits and its potential to cause digital ischemia and necrosis. With multiple reports underlining its safety and effectiveness, it is now being widely adopted in hand and wrist surgery. The British Society for Surgery of the Hand has already published guidelines on operating outside of main theatres, with an emphasis on wide awake local anaesthesia no tourniquet (WALANT). However, the same cannot be said for its use in foot and ankle procedures. There have been a handful of reports describing WALANT in bony and soft tissue procedures of the foot and ankle, with varied success. We aim to describe the scope of WALANT in these procedures and explore in detail its current role in the domain of lower extremity wide-awake surgery.

Indexed as

ankle and footlocal anaestheticreview articlewalantwide-awake surgery

Identifiers

PMID39744295
PMCPMC11688574

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.