ArticleCureus2025
Efficacy of Wide-Awake Local Anesthesia No Tourniquet (WALANT) Versus Bier's Block in the Internal Fixation of Unstable Distal Radius Fractures: A Single-Center Experience.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
INTRODUCTION AND
aimUnstable distal radius fractures typically necessitate surgical management through open reduction and internal fixation (ORIF). There are significant considerations and challenges regarding the selection of the anesthetic modality employed for the surgical management of these fractures. Recently, the wide-awake local anesthesia no tourniquet (WALANT) technique has been increasingly used for hand and wrist procedures, demonstrating excellent outcomes and fewer complications compared to general or regional anesthesia. This study aimed to compare the efficacy of the WALANT technique with Bier's block anesthesia in the fixation of unstable distal radius fractures. MATERIALS AND
methodsPatient demographics, mechanism of injury, fracture type, and anesthesia type (Bier's block or WALANT) were recorded. Our study constitutes a retrospective comparative analysis between the two types of anesthesia employed. All fractures were fixed through the extensor carpi radialis approach using a palmar locking plate. Surgeries were performed within 10 days of injury (range: one to 15 days). Pain levels during injection (WALANT group), intraoperatively, and postoperatively were assessed using the visual analog scale (VAS). Additional parameters included duration of surgery, analgesic use, and preoperative anxiety using the Amsterdam Preoperative Anxiety and Information Scale (APAIS).
resultsFifty-one patients (mean age: 57.9 years; range: 41-73) underwent ORIF - 26 with Bier's block and 25 with WALANT. Mean intraoperative pain in the WALANT group was 1.48/10, with postoperative VAS 1/10, compared to 6/10 in the Bier's block group. APAIS scores were similar between groups (4.45 in WALANT versus 4.58 in Bier's block). WALANT patients were discharged the same day, while those with Bier's block were discharged the following day. Analgesic use was shorter in the WALANT group (2.3 days versus 5.7 days). Surgery duration was slightly longer with WALANT (60.1 versus 54.2 min).
conclusionThe use of WALANT offered lower pain scores, reduced analgesic use, and same-day discharge. Therefore, WALANT is recommended as the preferred anesthetic technique for unstable distal radius fracture fixation.
Indexed as
Identifiers
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.