{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T02:08:56Z","timestamp":1790215736805,"version":"4.1.0"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,4,25]],"date-time":"2022-04-25T00:00:00Z","timestamp":1650844800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>As fraturas do escafoide representam entre 50 e 70% de todas as fraturas dos ossos do carpo. A osteoss\u00edntese percut\u00e2nea do escafoide pode usar a abordagem dorsal ou volar, ambas com bons resultados. \u00c9 mais comumente realizada sob anestesia geral ou bloqueio nervoso regional. A t\u00e9cnica de anestesia local com o paciente totalmente acordado e sem torniquete (WALANT, na sigla em ingl\u00eas) j\u00e1 \u00e9 considerada uma t\u00e9cnica segura e eficaz na cirurgia da m\u00e3o. A anestesia local com epinefrina causa vasoconstri\u00e7\u00e3o, o que evita o uso de torniquete e, consequentemente, a necessidade de seda\u00e7\u00e3o do paciente. Assim, a possibilidade de testar a estabilidade da fixa\u00e7\u00e3o sob for\u00e7as fisiol\u00f3gicas \u00e9 outra grande vantagem do uso da anestesia local. Na t\u00e9cnica descrita aqui, o movimento ativo do punho e da m\u00e3o pode ser testado imediatamente ap\u00f3s a fixa\u00e7\u00e3o escafoide. A t\u00e9cnica WALANT tem sido cada vez mais utilizada na cirurgia da m\u00e3o em partes moles e na fixa\u00e7\u00e3o de fraturas de metacarpo e falanges. No entanto, at\u00e9 o momento, n\u00e3o h\u00e1 literatura publicada abordando o uso dessa t\u00e9cnica na osteoss\u00edntese percut\u00e2nea do escafoide. O objetivo desta nota t\u00e9cnica \u00e9 descrever o uso de WALANT tanto para a abordagem dorsal quanto volar na osteoss\u00edntese percut\u00e2nea do escafoide.<\/jats:p>","DOI":"10.1055\/s-0041-1726070","type":"journal-article","created":{"date-parts":[[2022,4,25]],"date-time":"2022-04-25T23:41:36Z","timestamp":1650930096000},"page":"1070-1073","source":"Crossref","is-referenced-by-count":3,"title":["WALANT na osteoss\u00edntese percut\u00e2nea do escafoide"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4514-3606","authenticated-orcid":false,"given":"Celso Ricardo","family":"Folberg","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia de M\u00e3o, Servi\u00e7o de Ortopedia e Traumatologia, Hospital de Cl\u00ednicas de Porto Alegre (HCPA), Porto Alegre, RS, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3336-4567","authenticated-orcid":false,"given":"Jairo Andr\u00e9 de Oliveira","family":"Alves","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia de M\u00e3o, Servi\u00e7o de Ortopedia e Traumatologia, HCPA, Porto Alegre, RS, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6291-8058","authenticated-orcid":false,"given":"Fernando Maurente Sirena","family":"Pereira","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia de M\u00e3o, Servi\u00e7o de Ortopedia e Traumatologia, HCPA, Porto Alegre, RS, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1723-2364","authenticated-orcid":false,"given":"Vitor Bernardes","family":"Pedrozo","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, HCPA, Porto Alegre, RS, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,4,25]]},"reference":[{"issue":"07","key":"ref1","first-page":"363","article-title":"Percutaneous fixation of mid-third wrist scaphoid bone fractures","volume":"39","author":"C Folberg","year":"2004","journal-title":"Rev Bras Ortop"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"e0162779","DOI":"10.1371\/journal.pone.0162779","article-title":"Comparison of Dorsal and Volar Percutaneous Approaches in Acute Scaphoid Fractures: A Meta-Analysis","volume":"11","author":"K B Kang","year":"2016","journal-title":"PLoS One"},{"issue":"04","key":"ref3","first-page":"811","article-title":"Optimal Time Delay between Epinephrine Injection and Incision to Minimize Bleeding: Plastic and Reconstructive Surgery","volume":"131","author":"D E McKee","year":"2013"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.rbo.2017.05.002","article-title":"\u00c9 seguro o uso de anest\u00e9sico local com adrenalina na cirurgia da m\u00e3o? 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