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Updated: May 22, 2026
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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Clinical experience in forearm tourniquet use
Rattalerk Arunakul1, Sunyarn Niempoog
1Department of Orthopaedic Surgery, Faculty of Medicine, Thammasat University, Pathumthani, Thailand. benz.md@gmail.com
Summary
Forearm tourniquets are safe and effective for minor hand and wrist surgeries under local anesthesia. This method provides a bloodless surgical field without causing postoperative complications.
Area of Science:
- Orthopedic Surgery
- Surgical Innovation
Background:
- Minor hand and wrist surgeries often require a bloodless field for optimal visualization.
- Local anesthesia is frequently used for these procedures, necessitating minimally invasive adjuncts.
Purpose of the Study:
- To evaluate the effectiveness and safety of forearm tourniquet application in minor hand and wrist surgeries performed under local anesthesia.
Main Methods:
- A retrospective analysis of 93 patients undergoing hand and wrist surgery with forearm tourniquet application.
- Tourniquet applied at the proximal forearm with 250 mm Hg pressure.
- Data collected on tourniquet tolerance, surgical effectiveness, and postoperative complications.
Main Results:
- Forearm tourniquets successfully achieved a bloodless field in all procedures.
- Patients tolerated tourniquet application for an average of 27 minutes (up to 80 minutes).
- No tourniquet-related postoperative complications were observed.
Conclusions:
- Forearm tourniquet application is an effective and safe method for minor hand and wrist surgeries.
- It aids surgeons by providing a clear surgical field.
- The procedure is well-tolerated by patients with no adverse events.
