# The Use of WALANT Technique in the Osteosynthesis of Ankle Fractures: A Clinical Case Video

## TL;DR

This paper presents a first-of-its-kind video demonstrating the WALANT technique for ankle fracture surgery, which allows surgery without a tourniquet and under active movement.

## Contribution

The paper introduces the first clinical case video showcasing the use of WALANT in ankle fracture osteosynthesis.

## Key findings

- The WALANT technique allows surgery without a tourniquet.
- The ankle can be evaluated under physiological forces during the procedure.
- This is the first reported case video of its kind in the literature.

## Abstract

The Wide‐Awake Local Anesthesia No Tourniquet (WALANT) technique enables the creation of a suitable surgical field without the need for a tourniquet, while also allowing for the evaluation of the ankle under physiological forces (active ankle movement) after fixation. Data on the use of the WALANT technique in open reduction and internal fixation of ankle fractures are limited. This case video is the first to be presented in the literature.