WALANT in everyday practice
Demo Faculty Panel · 60 mins
View sessionOrthopedic Specialty
Hand & Wrist
Millimetre anatomy, maximal functional consequence.
Demo content. Entries and authors on this page are illustrative placeholders created for the platform preview — not real people, institutions or published studies.
Overview
Hand & Wrist at a glance
Hand and wrist surgery combines microsurgical reconstruction, trauma fixation and degenerative small-joint care.
Wide-awake local anaesthesia and early active motion have changed how many procedures are delivered.
Common conditions
Presentations that dominate the clinic and emergency workload in this subspecialty.
Carpal tunnel syndrome
Nocturnal paraesthesia with thenar wasting in late disease.
Distal radius fracture
The commonest upper-limb fracture across all ages.
Scaphoid fracture and nonunion
High index of suspicion needed; CT clarifies displacement.
Dupuytren contracture
Progressive digital flexion limiting hand function.
Trigger finger
A1 pulley stenosis, frequently diabetic-associated.
Procedures
Core operative procedures, from day-care work to complex reconstruction.
Carpal tunnel release
Open, mini-open or endoscopic decompression.
Volar plate fixation
Distal radius restoration with early wrist motion.
Tendon repair
Zone-specific flexor repair with core suture configurations.
Digital replantation
Microvascular repair with ischaemia-time-driven triage.
Thumb CMC arthroplasty
Trapeziectomy with or without suspensionplasty.
Surgical techniques
Technical detail and decision points discussed by faculty in this hub.
WALANT
Wide-awake surgery enabling intra-operative active motion testing.
Four-strand core suture
Repair strength permitting early active protocols.
Headless compression screw fixation
Percutaneous scaphoid fixation along the central axis.
Nerve transfer principles
Donor selection for high ulnar and radial palsies.
Latest innovations
Devices, workflows and technology changing how this subspecialty is practised.
Nerve conduits and allografts
Gap management without donor-site morbidity.
Ultrasound-guided release
Percutaneous procedures under dynamic imaging.
3D-printed custom orthoses
Lightweight splints matched to scan geometry.
Research
Community research threads currently active in this specialty.
Early active motion after flexor repair
Rupture and adhesion rates in a demo series.
WALANT cost and throughput
Theatre utilisation compared with regional block.
Scaphoid CT protocols
Detection rate against MRI reference.
Thesis
Postgraduate thesis work shared with the community.
Functional recovery after replantation
Two-year DASH scores and return to work.
Steroid injection versus release in trigger finger
Recurrence over 12 months.
Related webinars
One-hour, case-based sessions led by practising orthopedic faculty.
Distal radius: when to fix
Demo Faculty Panel · 60 mins
View sessionNerve transfers simplified
Demo Faculty Panel · 60 mins
View sessionEducational resources
Guidelines, atlases and checklists curated for this subspecialty.
Atlas
Zone anatomy atlas
Flexor and extensor zones with repair implications.
Guideline
Hand therapy guideline
Splinting and motion protocols by procedure.
Video
Microsurgery skills video
Anastomosis practice progression.
Checklist
Trauma triage checklist
Replantation candidacy assessment.