Preoperative ankle block for postoperative analgesia in foot surgery

Özhan, Mehmet Özgür; Tanrıöver, Altuğ; Atik, Bülent; Çaparlar, Ceyda Özhan; Eşkin, Burak Mehmet; Süzer, Anıl Mehmet

doi:10.1007/s00101-020-00754-1

Cited by 5 publications

(25 citation statements)

References 10 publications

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“…In HV surgical patients, ankle blocks were more effective than local blocks or a control (no blocks) (23,25). An ankle block before GA was more effective than a placebo, according to Özhan et al (18). In this study, postoperative pain was assessed for 12 POH, and an ankle block decreased pain (WMD: -2.92 VAS, 95% CI: -3.13, -2.71).…”

Section: Summary Of Evidencementioning

confidence: 71%

“…As shown in Table 4, Gadek et al (19) reported that a local block had a signi cant effect (P < 0.001) in the rst 24 POH with a maximum WMD = -4 VAS (95% CI: -4.51, -3.49) in the 8 POH. A study by Özhan et al (18) concluded that an ankle block was also considered effective in the same group (P = 0.001) (Tale 4). The forest plot shown in Figure 2 illustrates the effectiveness of the peri-incisional and ankle blocks in controlling postoperative pain using the WMD.…”

Section: Results From Vas Measurementmentioning

confidence: 99%

“…Özhan et al (18) and Su et al (20) had less important but still meaningful results. This review's secondary results are shown in Tables 8-9.…”

Section: Summary Of Evidencementioning

confidence: 93%

“…Different experiments employed different analgesics and dosages. Özhan et al (18) injected midazolam and fentanyl before an ankle block. Pethidine (0.5 mg/kg) was also given IV as a rescue analgesic.…”

Section: Summary Of Evidencementioning

confidence: 99%

“…Secondary outcomes for postoperative pain (Sleep and mood) Özhan et al(18) discussed the type, dose and duration of rescue analgesics given to patients and the average time to mobilisation following surgery. The frequency of patients experiencing nausea and vomiting was also recorded in this study, as shown in Table9.…”

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confidence: 99%

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Analgesic efficacy of local versus proximal nerve blocks afterhallux valgus surgery: A systematic review

Ravanbod

2022

Preprint

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Background: Hallux valgus (HV) surgery is an orthopaedic procedure that commonly causes mild to moderate postoperative pain. Effective management of this pain has become an important element of modern hallux valgus surgical treatment. A local anaesthetic (LA) with an antinociceptive effect can control this pain. However, relatively few papers have evaluated this strategy in depth. The objective of the current systematic review was to address this demand by comparing the efficacy of proximal and local blocks in controlling postoperative pain following hallux valgus surgery.Main text: Ovid-MEDLINE, Cochrane Central, PubMed, Web of Science (WOS), Scopus, and Embase were searched from their inceptions through December 29, 2021. Observational and clinical trial publications in peer-reviewed English-language journals with a sample size of at least 20 were included. The trials involved adults over 18 who could describe their discomfort and had a bunionectomy. The included studies were evaluated using the Cochrane risk of bias 2 method. Descriptive analysis synthesised the results.Among the 439 articles identified, five studies compromising 459 participants were included. Ankle blocks were superior to control in two studies (P = 0.001, P < 0.001) and superior to local blocks in one study (P < 0.001). Additionally, one study showed that popliteal and ankle blocks administered with lidocaine or levobupivacaine were equivalent (P = 0.123 and P = 0.055, respectively). However, one of these five included studies indicated that ankle blocks were not effective (P = 0.123) in reducing postoperative pain.Conclusions: The key findings presented herein suggest that regional blocks effectively reduce postoperative pain and that an ankle block has more supportive evidence for its effectiveness. However, an adequate assessment of the effectiveness of various administrative routes was challenging due to the lack of reliable evidence. This needs to be addressed in future studies.Trial registration: PROSPERO registration: CRD42022307974

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Section: Summary Of Evidencementioning

confidence: 71%

Section: Results From Vas Measurementmentioning

confidence: 99%

“…Özhan et al (18) and Su et al (20) had less important but still meaningful results. This review's secondary results are shown in Tables 8-9.…”

Section: Summary Of Evidencementioning

confidence: 93%

Section: Summary Of Evidencementioning

confidence: 99%

mentioning

confidence: 99%

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Analgesic efficacy of local versus proximal nerve blocks afterhallux valgus surgery: A systematic review

Ravanbod

2022

Preprint

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The efficacy and safety of ankle blocks for foot and ankle surgery: A systematic review with meta-analysis and trial sequential analysis

Schou,

Svensson,

Cleemann

et al. 2024

Foot and Ankle Surgery

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Prescription Patterns, Associated Factors, and Outcomes of Opioids for Operative Foot and Ankle Fractures: A Systematic Review

Badin

Ortiz-Babilonia

Gupta

et al. 2022

Clin Orthop Relat Res

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Background Pain management after foot and ankle surgery must surmount unique challenges that are not present in orthopaedic surgery performed on other parts of the body. However, disparate and inconsistent evidence makes it difficult to draw meaningful conclusions from individual studies. Questions/purposes In this systematic review, we asked: what are (1) the patterns of opioid use or prescription (quantity, duration, incidence of persistent use), (2) factors associated with increased or decreased risk of persistent opioid use, and (3) the clinical outcomes (principally pain relief and adverse events) associated with opioid use in patients undergoing foot or ankle fracture surgery? Methods We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for our review. We searched PubMed, Embase, Scopus, Cochrane, and Web of Science on October 15, 2021. We included studies published from 2010 to 2021 that assessed patterns of opioid use, factors associated with increased or decreased opioid use, and other outcomes associated with opioid use after foot or ankle fracture surgery (principally pain relief and adverse events). We excluded studies on pediatric populations and studies focused on acute postoperative pain where short-term opioid use (< 1 week) was a secondary outcome only. A total of 1713 articles were assessed and 18 were included. The quality of the 16 included retrospective observational studies and two randomized trials was evaluated using the Methodological Index for Non-Randomized Studies criteria and the Jadad scale, respectively; study quality was determined to be low to moderate for observational studies and good for randomized trials. Mean patient age ranged from 42 to 53 years. Fractures studied included unimalleolar, bimalleolar, trimalleolar, and pilon fractures. Results Proportions of postoperative persistent opioid use (defined as use beyond 3 or 6 months postoperatively) rangedThe authors certify that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research® neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDA approval status, of any drug or device before clinical use.

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Preoperative ankle block for postoperative analgesia in foot surgery

Cited by 5 publications

References 10 publications

Analgesic efficacy of local versus proximal nerve blocks afterhallux valgus surgery: A systematic review

Analgesic efficacy of local versus proximal nerve blocks afterhallux valgus surgery: A systematic review

The efficacy and safety of ankle blocks for foot and ankle surgery: A systematic review with meta-analysis and trial sequential analysis

Prescription Patterns, Associated Factors, and Outcomes of Opioids for Operative Foot and Ankle Fractures: A Systematic Review

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