| Objective To investigate the clinical effect of arthroscopic excision using Wide-awake technology (wide awake local anesthesia no tourniquet, WALANT) of recurrent children's wrist ganglions.Methods A retrospective analysis was conducted on the case data of 37 children with recurrent wrist ganglions in Huangshi Love ＆ Health Hospital Affiliated of Hubei Polytechnic University between January 2017 and June 2022. All unilateral lesions underwent arthroscopic excision using the wide-awake technique. Postoperative patient satisfaction, recurrence rate, complications and Cooney wrist function assessment were evaluated.Results The follow-up period ranged from 8 to 15 months, with an average of 13.3 months. There were no recurrences cases during the follow-up, the children exhibited normal wrist appearance, with no visible scars, high satisfaction, and no surgical complications. According to the Cooney wrist function evaluation criteria, the postoperative scores of the 37 patients were (93±5) points, showing a significant improvement compared to the preoperative scores, with statistically significant differences (P<0.05).Conclusion Wrist arthroscopy based on Wide-awake technology is a safe, minimally invasive, rapid recovery, less complications, low recurrence rate and beautiful incision for the treatment of recurrent children's wrist ganglions. |
