Patricio Pérez Navarrete¹*, Daniela Luna Meza³, Andrés Rodrigo Gamio², Pelayo Arrieta Sotta¹ and Eduardo Guzmán Díaz¹

¹Hand Surgeon, Orthopedic Department, Hospital Hernán Henríquez Aravena. Temuco, Chile
²Orthopedic Surgeon, Orthopedic Department, Hospital Hernán Henríquez Aravena, Temuco, Chile
³Orthopedic Resident, Orthopedic Department, Hospital Hernán Henríquez Aravena, Temuco, Chile

*Corresponding Author: Patricio Pérez Navarrete, Hand Surgeon, Orthopedic Department, Hospital Hernán Henríquez Aravena. Temuco, Chile.

Received: October 27, 2022; Published: December 05, 2022

Abstract

In the current scenario in hand surgery and microsurgery, there has been an exponential development in Wide Awake Local Anesthesia with No Torniquete techniques (WALANT). We present the case of a male with chronic injury of the radial and ulnar nerves. With extension deficit of the wrist and fingers in addition to ulnar claw. Tendon transfers were performed with WALANT technique, which allowed us to evaluate the exact tension required for the patient. We transferred pronator teres to extensor carpi radialis brevis, flexor carpi radialis to extensor digitorum communis and palmaris longus to extensor pollicis longus. We also performed a fourth transfer for the ulnar claw with Zancolli technique. Patient completed painless surgery with 6-hour analgesia.
Six months later after triple tendon transfer surgery for radial nerve palsy and correction of the ulnar claw, the patient achieved extension of the wrist, fingers and thumb, opening and closing of the hand, with excellent function and mobility, which allows him to perform most daily activities without major difficulty.
We conclude that the WALANT technique represents a reliable and safe alternative to perform multiple tendon transfers, being an easy and reproducible technique, with intraoperative utility to be able to dynamically evaluate the result of the repair and with postoperative benefits, by allowing the patient to initiate early movement.

Keywords: WALANT; Surgery; Tendon

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Citation

Citation: Patricio Pérez Navarrete.,et al. “Multiple Tendon Transfer in Radial and Ulnar Nerve Palsy Using WALANT: Case Report”.Acta Scientific Orthopaedics 6.1 (2023): 30-36.

Copyright

Copyright: © 2023 Patricio Pérez Navarrete.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.