{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T23:19:56Z","timestamp":1787527196057,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Local anaesthesia with tourniquet (LA-T) and wide-awake local anaesthesia no tourniquet (WALANT) are both commonly used in hand surgery. However, the differences in postoperative pain between these methods in various procedures are unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective single-surgeon case series of 356 procedures (184 LA-T; 172 WALANT) between 2015 and 2019. Included cases were unilateral carpal tunnel release and single-digit A1 pulley release. Postoperative pain was assessed on days 1\u20133 and at 2\u2009weeks using patient-reported pain scores, sleep disturbance, hospital visits and need for additional or prolonged analgesics. Operative time and pain-free interval were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In carpal tunnel release, WALANT was associated with longer pain-free intervals, lower peak pain, less pain at first follow-up, fewer reports of sleep disturbance and less use of additional and prolonged analgesics. Operative time was shorter with LA-T. In A1 pulley release, although LA-T had a shorter operative time and pain-free interval, most pain-related outcomes were similar between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>WALANT provided superior early pain control in carpal tunnel release. For A1 pulley release, LA-T remains a useful option. Anaesthesia selection should be tailored to the procedure and individual patient factors.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Level of evidence:<\/jats:bold>\n                      III\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934261420615","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T05:56:17Z","timestamp":1772430977000},"page":"1053-1059","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative pain after carpal tunnel or trigger digit release using local anaesthesia with tourniquet or WALANT"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5634-5716","authenticated-orcid":false,"given":"Sang Ho","family":"Kwak","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, SNU Seoul Hospital, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Seok","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Hee","family":"Kim","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Yoon","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Dong-A University Hospital, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung Yun","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2084-9824","authenticated-orcid":false,"given":"Sang Hyun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/15589447251334670"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2023.11.011"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.06.023"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2024.05.009"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558944716646765"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/15589447211066974"},{"key":"e_1_3_2_8_1","article-title":"Understanding the learning curve of carpal tunnel release with ultrasound guidance: a review","volume":"15","author":"Ekhtiari S","year":"2023","unstructured":"Ekhtiari S, Phillips M, Dhillon D, Shahabinezhad A, Bhandari M. 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