The use of local anesthesia with epinephrine and no tourniquet/no sedation is becoming an excellent alternative for hand surgeries. This wide-awake approach is the most commonly used method of anesthesia for carpal tunnel release in Canada. The purpose of this paper is to provide a video detailing this technique for trapeziectomy for trapeziometacarpal joint osteoarthritis.
DavisTRPaceA. Trapeziectomy for trapeziometacarpal joint osteoarthritis: is ligament reconstruction and temporary stabilisation of the pseudarthrosis with a Kirschner wire important?J Hand Surg Eur Vol.2009;34(3):312–21.
2.
HigginsALalondeDHBellMMcKeeDLalondeJF. Avoiding flexor tendon repair rupture with intraoperative total active movement examination. Plast Reconstr Surg.2010;126(3):941–5.
LalondeDH. “Hole-in-one” local anesthesia for wide-awake carpal tunnel surgery. Plast Reconstr Surg.2010;126(5):1642–4.
5.
LalondeDBellMBenoitPSparkesGDenklerKChangP. A multicenter prospective study of 3,110 consecutive cases of elective epinephrine use in the fingers and hand: the Dalhousie Project clinical phase. J Hand Surg Am.2005;30(5):1061–7.
6.
LeblancMRLalondeJLalondeDH. A detailed cost and efficiency analysis of performing carpal tunnel surgery in the main operating room versus the ambulatory setting in Canada. Hand (N Y).2007;2(4):173–8.
7.
LeblancMRLalondeDHThomaA. Is main operating room sterility really necessary in carpal tunnel surgery? A multicenter prospective study of minor procedure room field sterility surgery. Hand (N Y).2011;6:60–3.
8.
LiYKWhiteCIgnacyTAThomaA. Comparison of trapeziectomy and trapeziectomy with ligament reconstruction and tendon interposition: a systematic literature review. Plast Reconstr Surg.2011;128(1):199–207.
9.
MustoeTABuckDW2ndLalondeDH. The safe management of anesthesia, sedation, and pain in plastic surgery. Plast Reconstr Surg.2010;126(4):165e–76e.
10.
NelsonRHigginsADoumitJConradJBellMLalondeD. Erratum to: The wide-awake approach to Dupuytren's Disease: fasciectomy under local anesthetic with epinephrine. Hand (N Y).2010;5(2):213.
11.
VermeulenGMSlijperHFeitzRHoviusSEMoojenTMSellesRW. Surgical management of primary thumb carpometacarpal osteoarthritis: a systematic review. J Hand Surg Am.2011;36(1):157–69.
