Wide Awake Hand Surgery

Part I Atlas of Tumescent Local Anesthesia with Forearm, Wrist, Hand, and Finger Injections

1 Atlas of Images of Local Anesthetic Diffusion Anatomy

Part II General Principles of Wide Awake Hand Surgery

2 What Is Wide Awake Hand Surgery?

3 Safe Epinephrine in the Finger Means No Tourniquet

4 Tumescent Local Anesthesia

5 How to Inject Local Anesthetic With Minimal Pain

6 Dealing With Systemic Adverse Reactions to Lidocaine and Epinephrine

7 Tips on Talking to Your Patients About WALANT

8 Talking With Patients During Surgery Saves Time

9 WALANT Hand Surgery in Infants and Children

10 Field Sterility for Simple Cases Makes Sense

11 Revenues Increase and Costs Decrease with WALANT

12 The "Buy-In": Administration, Anesthesiology, Nursing, and Payers

13 Performing Your First Cases With WALANT

14 Scheduling Fifteen or More Hand Surgery Cases per Day

15 Integrating Hand Therapists Into WALANT

16 Minor Procedure Room Setup

Part III Specific Details of How to Perform Wide Awake Hand Surgery for Common Operations

Section A Amputation

17 Finger and Ray Amputation

Section B Nerve Decompression

18 Carpal Tunnel Decompression of the Median Nerve

19 Cubital Tunnel Decompression of the Ulnar Nerve

20 Lacertus Syndrome: Median Nerve Release at the Elbow

Section C Tendon Decompression

21 Trigger Finger

22 De Quervain Release

Section D Dupuytren's Contracture and Soft Tissue Excision

23 Dupuytren's Contracture

24 Flexor Sheath Ganglion

25 Small Soft Tissue Operations

Section E Arthritis Surgery

26 Arthroplasty of the Proximal Interphalangeal Joint

27 Trapeziectomy With or Without Ligament Reconstruction for Thumb Basal Joint Arthritis

28 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair

29 Proximal Interphalangeal Joint Fusion

Section F Wrist Surgery

30 Wrist Arthroscopy

31 Open Triangular Fibrocartilage Complex Repair

Section G Lacerated Tendons and Tenolysis

32 Flexor Tendon Repair of the Finger

33 Flexor Tendon Repair of the Hand

34 Flexor Tendon Repair of the Forearm

35 Extensor Tendon Repair of the Finger

36 Extensor Tendon Repair of the Hand

37 Extensor Tendon Repair of the Forearm

38 Tenolysis

Section H Tendon Transfers

39 Tendon Transfers

Section I Lacerated Nerves

40 Lacerated Nerves

Section J Fractures

41 Finger Fractures

42 Reduction and Internal Fixation of Metacarpal Fractures

Part IV Complex Reconstructions

43 Complex Reconstructions in Hand Surgery