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Document Type

Original Article

Abstract

Background: Supination-external rotation (Lauge-Hansen SER) One of the most frequent injuries is an ankle fracture of the Weber B type. Whether to operate or manage conservatively depends on how stable the ankle joint is. Objective: to assess the validity of using WALANT anesthetic approach in management of Ankle malleolar fracture in limited resources countries. Patients and methods: This cross-sectional trial include 50 patients admitted with ankle fracture that require surgical intervention for reduction and internal fixations who are presented to the emergency department of Al-Azhar University hospital. This study take time from MAY 2022 to April 2023. Results: Regarding type of fracture, (52.0%) 26 patients were bimalleolar, (24.0%)12 patients were medial malleolar and (24.0%)12 patients were lateral malleolar. The mean intra-operative time was 62 mi. There was insignificant difference in time of First rescue analgesia, Patient satisfaction, Discomfort post-operative stay, post-operative complication and Time of first unassisted ambulatory (hours). There was insignificant difference as regard total dose of analgesia in 24 h to do NPS less than 3 (opoid or non opoid).There was insignificant difference as regard toe temperature, body temperature and skin color during surgery and during 24 hour Follow up time. Conclusion: WALANT offers a safe and dependable method for managing ankle fractures while simplifying surgical preparation.WALANT differs from other methods of anaesthesia in that it does not call for a difficult nerve block technique or sophisticated spinal or general anesthesia, both of which pose a risk to the heart and lungs.

Keywords

WALANT; Simple Malleolar Fracture; Outcomes.

Subject Area

Orthopedics

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