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WALANT vs General Anesthesia for Ankle Implant Removal: Improved Early Recovery and Efficiency
October 2025
WALANT vs General Anesthesia for Ankle Implant Removal: Improved Early Recovery and Efficiency
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Wide-awake local anesthesia no tourniquet (WALANT) technique versus general anesthesia for the removal of implants after ankle fracture union - A randomized controlled trial.
J Foot Ankle Surg . 2025 Jul-Aug;64(4):462-468.Synopsis
Fifty-six patients with united ankle fractures requiring implant removal were randomized to receive WALANT (n=28) or general anesthesia (n=28). The primary outcome was pain (11-point VAS) measured repeatedly postoperatively. Secondary outcomes included anxiety (VAS), patient satisfaction, blood loss, operating-room and skin-to-skin times, recovery-room time, and adverse events; wounds were followe...
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