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Anesthesiology/Scaphoid repair under local anaesthetic?
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Question
Sir,
Please may you advise me whether it is possible, even remotely, to repair a scaphoid (small bone at base of thumb) fracture surgically without a general anaesthetic?
Thank you
Alan Cobban
South Africa
Dear Alan
It is possible but would probably require a local anaesthetic injection to numb your whole arm. This can be done with an injection into your arm pit. Not everyone can do these and the success rate is about 90%.
Hope this helps
Ian Jackson
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Anesthesiology
Answers by Expert:
Dr Ian Jackson - please note UK based
Expertise
I am a Consultant Anaesthetist in the UK. My interests include ambulatory or day surgery, obstetric anaesthesia and analgesia, acute pain management (use of epidurals and patient controlled analgesia)anaesthesia for surgery on the airway, orthopaedics and most things except brains and hearts. Interest in prehospital care of trauma and provision of medical cover at motorsport events.
Experience
Organizations
European Society of Regional Anaesthesia
British Association of Day Surgery
Obstetric Anaesthetists Association
Association of Anaesthetists
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