What does this research mean for the field?

WALANT provides superior early pain control in carpal tunnel release compared to local anaesthesia with tourniquet. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To compare postoperative pain control between WALANT and local anaesthesia with tourniquet in carpal tunnel and trigger digit release.

March 4, 2026Journal of Hand Surgery (European Volume)0 citations

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Postoperative pain after carpal tunnel or trigger digit release using local anaesthesia with tourniquet or WALANT

SKSang Ho KwakSeoul National University Hospital HJHyo Seok JangInje University Haeundae Paik Hospital DKDong Hee KimKangbuk Samsung Hospital

Key Points

To compare postoperative pain control between WALANT and local anaesthesia with tourniquet in carpal tunnel and trigger digit release.
Observational study design
Comparison of WALANT and local anaesthesia with tourniquet
Focus on pain management outcomes during postoperative phase
WALANT demonstrated superior early pain control in carpal tunnel release cases
Local anaesthesia with tourniquet remains effective for A1 pulley release
Tailoring anaesthesia selection is crucial based on individual needs

Abstract

WALANT provided superior early pain control in carpal tunnel release. For A1 pulley release, LA-T remains a useful option. Anaesthesia selection should be tailored to the procedure and individual patient factors.Level of evidence: III.

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Postoperative pain after carpal tunnel or trigger digit release using local anaesthesia with tourniquet or WALANT

Key Points

Abstract

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