Reconstruction of Chronic Boutonniere Deformity with Wide Awake Local Anesthesia and No Tourniquet in a Patient with Upper Type Brachial Plexus Injury: A Case Report

Authors

  • Emmanuel P. Estrella, MD, MSc ASTRO Study Group, Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila; Microsurgery Unit, Department of Orthopedics, Philippine General Hospital, University of the Philippines Manila
  • Nathaniel S. Orillaza, Jr. Microsurgery Unit, Department of Orthopedics, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v56i20.5935

Keywords:

: WALANT, boutonniere, finger reconstruction, concomitant brachial plexus injury

Abstract

Reconstruction of chronic boutonniere deformity remains to be a challenging procedure especially when combined with other debilitating injuries in the same extremity. The balance to properly tension the reconstruction with active motion is often prevented by the need to perform the procedure under sedation of block to tolerate the use of tourniquet. We present a case of a young patient who successfully underwent restoration of active proximal interphalangeal (PIP) extension with a Palmaris longus graft while wide awake under local anesthesia and no tourniquet (WALANT) before subsequently having nerve transfers for upper type brachial plexus injury.

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Published

2022-12-22

Issue

Vol. 56 No. 20 (2022): Orthopedics Issue 3

Section

Articles

How to Cite

1.
Reconstruction of Chronic Boutonniere Deformity with Wide Awake Local Anesthesia and No Tourniquet in a Patient with Upper Type Brachial Plexus Injury: A Case Report. Acta Med Philipp [Internet]. 2022 Dec. 22 [cited 2025 Apr. 4];56(20). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/5935