Author(s):
1. Saba Kiran:
Dow University of Health Sciences, Karachi, Pakistan
2. Faisal Akhlaq Ali Khan:
Dow University of Health Sciences, Karachi, Pakistan
3. Hyder Ali:
Dow University of Health Sciences, Karachi, Pakistan
4. Maha Farhina:
Dow University of Health Sciences, Karachi, Pakistan
5. Sadaf Gulzar:
Dow University of Health Sciences, Karachi, Pakistan
6. Sobia Rashid:
Dow University of Health Sciences, Karachi, Pakistan
Abstract:
Objective: To compare the functional outcomes in terms of active range of motion for tendon repair surgeries under wideawake local anaesthesia versus general anaesthesia. Study design: Comparative prospective study. Place and Duration of Study: Department of Plastic & Reconstructive Surgery, Dr Ruth K.M. Pfau Civil Hospital Karachi Pakistan, from Jan to Sep 2020. Methodology: Patients of either gender of age 15 years or above with hand injuries with tendon repair required, operated within the hospital premises were included in the study using the non-probability consecutive sampling technique. Individuals who were operated on under wide-awake local anaesthesia were taken as approach arms (n=65). While the patients undergoing tendon repair under general anaesthesia were considered as the study's control arm (n=65). The final functional outcomes were assessed in the sixth week of the surgery by calculating the total active range of motion. Results: For the range of motion of the injured finger in the general anaesthesia group, 25 (38.5%) had excellent outcomes, 14 (21.5%) had a good outcome, and 8 (12.3%) had fair outcomes, while in the WALANT group, 30 (46.2%) had excellent outcome, 16 (24.6%) had a good outcome and 12 (18.5%) had a fair outcome. There was no relationship between the range of motion of the injured finger and the group (p=0.101). Conclusion: The functional outcomes in active range of motion are better in the WALANT approach than in general anaesthesia.
Page(s):
966-970
Published:
Journal: Pakistan Armed Forces Medical Journal, Volume: 72, Issue: 3, Year: 2022
Keywords:
Range of motion
,
Functional outcomes
,
Hand injury
,
General anaesthesia
,
WALANT approach
,
Injured finger
,
Tendon repair
References:
References are not available for this document.
Citations
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