Safety and Efficacy of Wide Awake Local Anesthesia no Tourniquet Technique (WALANT) in Ankle Removal of Implant Surgery

Comparing Removal of Ankle Implants/ Hardware Using the Wide-awake Local Anesthesia no Tourniquet (WALANT) Technique Versus General Anesthesia.

Safety and efficacy of wide awake local anesthesia no torniquet technique (WALANT) in ankle surgery. Studying risks and benefits from WALANT compared to general anesthesia . WALANT expected to decrease in intraoperative/post operative pain at the surgical site and decrease hospital time .

Inclusion Criteria:

• Age: >18
• Previous ORIF for:
• Unimalleolar fractures
• Bimalleolar fractures
• Trimalleolar fractures

Exclusion Criteria:

• Allergy to local anesthesia
• Psychiatric diagnosis including: affect disorders, uncooperative
• Severe cardiovascular disease