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Field sterility and Wide Awake Local Anesthesia No Tourniquet (WALANT) technique is a commonly used operative technique for many hand and wrist pathologies. We present a case of a successful proximal row carpectomy using WALANT and field sterility in a minor surgery operating theatre setting. These techniques can be applied in appropriate patients to reduce the overall cost of surgery, anesthetic complications, and prolonged hospital stay.

Wide Awake Local Anesthesia No Tourniquet (WALANT) technique has become an increasingly popular method of treating common hand pathologies. We present its application in the treatment of an acute minimally displaced scaphoid fracture. In addition, we demonstrate this can be achieved with field sterility using minimal surgical PPE and draping in a minor surgery setting, outside the main operating room theatre.