{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:23:46Z","timestamp":1768454626056,"version":"3.49.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T00:00:00Z","timestamp":1609718400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The wide-awake local anesthesia no tourniquet (WALANT) technique has been used in many orthopedic surgeries. The benefits of this technique are the avoidance of the adverse effects of general anesthesia (GA) and the overall reduction of the cost of surgery. However, a literature search revealed no published report on performing the WALANT technique for clavicular fracture surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>We report a case of mid-shaft clavicular fracture that was treated with plate osteosynthesis using the WALANT technique in a patient with uncontrolled atrial fibrillation. During the operation, the patient did not experience any pain, and the procedure could be performed easily due to minimal bleeding in the operative field. The operation was completed successfully without any complications, and the patient was discharged from the hospital the day after surgery. Follow-up radiographs after three months showed union of the clavicle at the fracture site, and the patient could use his arm normally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Clavicular fracture is routinely treated with plate osteosynthesis under general anesthesia. In some patients with high morbidity and other risk factors for whom GA is unsuitable, the WALANT technique can prove to be an effective alternative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clavicular fixation can be performed successfully and without any complication under WALANT technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2021.01.005","type":"journal-article","created":{"date-parts":[[2021,1,10]],"date-time":"2021-01-10T01:08:11Z","timestamp":1610240891000},"page":"112-115","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Wide-awake local anesthesia for clavicle fracture fixation"],"prefix":"10.1097","volume":"79","author":[{"given":"Sunyarn","family":"Niempoog","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yot","family":"Tanariyakul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Woraphon","family":"Jaroenporn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-26-20260114","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1067\/mse.2002.126613","article-title":"Epidemiology of clavicle fractures","volume":"11","author":"Postacchini","year":"2002","journal-title":"J. Shoulder Elbow Surg"},{"key":"R2-26-20260114","doi-asserted-by":"crossref","first-page":"2297","DOI":"10.1016\/j.jhsa.2014.08.024","article-title":"Wide-awake extensor indicis proprius to extensor pollicis longus tendon transfer","volume":"39","author":"Lalonde","year":"2014","journal-title":"J. Hand Surg"},{"key":"R3-26-20260114","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1055\/s-0037-1603200","article-title":"Open carpal tunnel release outcomes: performed wide awake versus with sedation","volume":"9","author":"Tulipan","year":"2017","journal-title":"J. Hand Microsurg"},{"key":"R4-26-20260114","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.tcr.2017.10.016","article-title":"Plating of an isolated fracture of shaft of ulna under local anaesthesia and periosteal nerve block","volume":"12","author":"Ahmad","year":"2017","journal-title":"Trauma Case Rep"},{"key":"R6-26-20260114","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R7-26-20260114","doi-asserted-by":"crossref","first-page":"443","DOI":"10.5435\/JAAOS-21-08-443","article-title":"Epinephrine in local anesthesia in finger and hand surgery: the case for wide-awake anesthesia","volume":"21","author":"Lalonde","year":"2013","journal-title":"J. Am. Acad. Orthop. 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Acute Care Open"},{"key":"R10-26-20260114","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.3928\/01477447-20181206-01","article-title":"Comparison of wide-awake local anesthesia no tourniquet with general anesthesia with tourniquet for volar plating of distal radius fracture","volume":"42","author":"Huang","year":"2019","journal-title":"Orthopedics"},{"key":"R11-26-20260114","doi-asserted-by":"crossref","first-page":"A81","DOI":"10.1186\/1753-6561-9-S3-A81","article-title":"Wide awake local anaesthesia no tourniquet technique (WALANT)","volume":"9","author":"Lalonde","year":"2015","journal-title":"BMC Proc"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221000055?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221000055?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.01.005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:26:04Z","timestamp":1768397164000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.01.005"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2021.01.005","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}