Management of diabetic trigger finger: surgical release under WALANT

Abstract

Diabetics are more susceptible to developing trigger finger. A great number of patients with trigger finger, including diabetics, eventually require surgical management. If surgery is required, complete release of the A1 pulley is necessary. The usual practice is to perform trigger release surgery with a tourniquet for a clean surgical field, but the discomfort caused by the tourniquet sometimes turns the surgery into a very bad expericnce for the patient. Wide-awake local anesthesia no tourniquet (WALANT) technique has various significant advantages, including discarding the use of the tourniquet. The goal of this paper is to display the good results in diabetic trigger finger release under WALANT surgery.