Fig. 4From: WALANT for distal radius fracture: open reduction with plating fixation via wide-awake local anesthesia with no tourniquetHenry approach via WALANT technique. a Before splitting the pronator quadrates, we injected an additional 5Â ml of 1% lidocaine mixed with 1:40000 epinephrine beneath it for later procedures. b Volar ORIF with plating. c The patient was required to perform active range of motion with wrist extension and flexion. d Perform radial and ulna deviationBack to article page