Use of WALANT in hallux valgus correction: Anesthetic protocol and technical considerations

To describe the application of the WALANT (Wide-Awake Local Anesthesia No Tourniquet) technique in hallux valgus surgery, highlighting its advantages in terms of patient comfort and surgical safety.

A descriptive study detailing the steps for administering WALANT anesthesia during hallux valgus correction. Patient selection, local anesthetic preparation, injection technique, and surgical approach were documented. The case of a 65-year-old woman with severe hallux valgus undergoing surgery with the WALANT technique is presented.

The patient tolerated the procedure well without requiring sedation or experiencing significant pain. Despite the absence of a tourniquet, the surgery was performed with adequate visibility and hemostatic control. Early mobilization was achieved, and the patient reported a high level of satisfaction. At the 2-week follow-up, wound healing progressed favorably and alignment was satisfactory, with no complications observed.

WALANT appears to be a safe and effective alternative for hallux valgus surgery, minimizing the risks associated with general or regional anesthesia while improving the overall patient experience. This report outlines the anesthetic protocol routinely used in our practice, which may serve as a foundation for standardizing its application in forefoot procedures. Further comparative and prospective studies are warranted to assess its clinical and functional outcomes over the medium and long term.

This is a level 4 evidence study as it focuses on the description of a surgical technique based on clinical experience.