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Wide-Awake Tendon Surgery

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Abstract

This chapter provides description of the technical details of how to inject local anesthesia for wide-awake tendon surgery of the thumb. We demonstrate how to perform primary tendon repair of both flexor and extensor pollicis longus as well as tenolysis. In cases of nerve palsy or chronic rupture of tendons, delayed reconstruction of the extensor and flexor tendons under wide-awake anesthesia is described. Although there are many advantages of the original wide-awake anesthesia, we introduce some modifications according to the unique national insurance system and doctors’ preferences.

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Author information

Authors and Affiliations

  1. W Institute for Hand and Reconstructive Microsurgery, W Hospital, Daegu, South Korea

    Myung Jae Yoo & Sang Hyun Woo

Authors
  1. Myung Jae Yoo
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  2. Sang Hyun Woo
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Editor information

Editors and Affiliations

  1. W Institute for Hand and Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, W Hospital, Daegu, Korea (Republic of)

    Sang Hyun Woo

Electronic Supplementary Material

Preoperative patients and local anesthetic injection. It shows details of how to inject local anesthesia for wide-awake surgery (WMV 223076 kb)

Delayed flexor pollicis longus (FPL) repair with pulley reconstruction. It shows details of how to repair flexor pollicis longus (FPL) and reconstruct A1 pulley under wide-awake anesthesia (WMV 126 kb)

Flexor pollicis longus (FPL) tenolysis after tendon repair. It shows details of how to do flexor pollicis longus (FPL) tenolysis under wide-awake anesthesia (WMV 525373 kb)

Extensor indicis proprius (EIP) to extensor pollicis longus (EPL) tendon transfer. It shows details of how to do tendon transfer under wide-awake anesthesia (WMV 804584 kb)

Flexor digitorum superficialis (FDS) of the long or ring finger to flexor pollicis longus (FPL) tendon transfer. It shows details of how to do tendon transfer under wide-awake anesthesia (WMV 172599 kb)

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© 2019 Springer Nature Singapore Pte Ltd.

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Yoo, M.J., Woo, S.H. (2019). Wide-Awake Tendon Surgery. In: Woo, S. (eds) The Thumb. Springer, Singapore. https://doi.org/10.1007/978-981-10-4400-7_12

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  • DOI: https://doi.org/10.1007/978-981-10-4400-7_12

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4399-4

  • Online ISBN: 978-981-10-4400-7

  • eBook Packages: MedicineMedicine (R0)

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