Multiple tendon transfer under WALANT - A retrospective case series.

Cohort studyHand surgery & rehabilitation· Jul 2026

Multiple tendon transfer under WALANT - A retrospective case series.

Zhi Yang Ng, Leo Tsz-Ching Chau, Camelia Qian Ying Tang … Pak-Cheong Ho

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OrthopedicsCohort studyTreatmentQ3IF 1.4

Multiple tendon transfers under wide awake local anaesthesia no tourniquet achieved a mean MRC strength of 3.7

Multiple tendon transfer under WALANT - A retrospective case series.

Zhi Yang Ng … Pak-Cheong Ho

Hand surgery & rehabilitation · Jul 2026 · Q3 in Orthopedics

Background

Wide awake local anaesthesia no tourniquet (wide awake local anaesthesia no tourniquet) has gained wide acceptance in Hand Surgery.

Purpose

The purpose of the current study is to report on the clinical and functional outcomes of multiple tendon transfers under wide awake local anaesthesia no tourniquet.

Methods

With peripheral nerve palsies who underwent multiple tendon transfers under wide awake local anaesthesia no tourniquet from March 2015 - March 2025 are retrospectively recruited from a territory orthopaedic referral hospital.

n = 14 patients

Results

3.7

strength returned to fair, roughly half of normal muscle power

n = 14 patients

More results

The average age of this cohort was 49 years (range, 24-69), with an average operative time of 207 minutes (range, 122-265).

“

Conclusion

This is the largest reported series of multiple tendon transfers performed under wide awake local anaesthesia no tourniquet to date.

Multiple tendon transfer under WALANT - A retrospective case series.

Multiple tendon transfer under WALANT - A retrospective case series.

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