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Transthecal digital block at the proximal phalanx
P J Torok1, S D Flinn, A Y Shin
1Department of Orthopedic Surgery, Naval Medical Center San Diego, San Diego, California, USA.
Journal of Hand Surgery (Edinburgh, Scotland)
|February 13, 2001
Summary
A modified transthecal digital block effectively anaesthetised 99% of digits for various treatments. This simple technique for digital anesthesia proved safe and highly successful in a large patient cohort.
Area of Science:
- Hand surgery
- Orthopedic surgery
- Anesthesiology
Background:
- Digital anesthesia is crucial for hand and finger procedures.
- Transthecal digital block is a known technique, but modifications may improve efficacy.
- Assessing novel anesthetic techniques is important for patient outcomes.
Purpose of the Study:
- To evaluate the effectiveness of a modified transthecal digital block.
- To determine the success rate of this technique in achieving complete anesthesia.
- To assess the safety and ease of use of the modified digital block.
Main Methods:
- A modified transthecal digital block was performed on 360 consecutive digits.
- The anesthesia was used for treating fractures, infections, and foreign bodies.
- Success was defined by achieving complete palmar and dorsal anesthesia.
Main Results:
- The modified transthecal digital block achieved complete anesthesia in 357 out of 360 digits (99%).
- Anesthesia was successful in 52 of 53 thumbs (98%).
- The technique was easy to perform with no reported complications.
Conclusions:
- The modified transthecal digital block is a highly effective and safe method for digital anesthesia.
- This technique offers a high success rate for various hand and finger conditions.
- Its ease of use makes it a valuable option for clinicians.