Office-based Orthopaedic Surgery: WALANT and Beyond

Shafic A. Sraj, MD

Office-based orthopaedic surgery (OBOS) was historically limited to superficial mass excisions and other minor surgeries that could be done within the time constraints of a tourniquet. The development of wide-awake local anesthesia with no tourniquet (WALANT) removed that constraint and expanded the scope of OBOS in fully awake patients.