The Efficacy of Combined Popliteal and Ankle Blocks in Forefoot Surgery

Samuel, Rohit; Sloan, Andrew; Patel, Kuntal; Aglan, M; Zubairy, A.I.

doi:10.2106/jbjs.g.01133

Cited by 35 publications

(24 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies in the literature report that ankle block is effective in early postoperative pain control, allows early mobilization, and prevents adverse effects secondary to oral analgesic use [10-14]. In their prospective study of 71 cases, Russell et al [2] reported that ankle block markedly decreased the postoperative 24-h VAS score and that it is a safe method.…”

Section: Discussionmentioning

confidence: 99%

Ankle Nerve Block Adjuvant to General Anesthesia Reduces Postsurgical Pain and Improves Functional Outcomes in Hallux Valgus Surgery

Kır

Kir

2018

Med Princ Pract

View full text Add to dashboard Cite

Objective: Postoperative pain is a frequent problem after orthopedic procedures like hallux valgus surgery. The aim of this study was to evaluate whether ankle block improves early and mid-term functional outcomes and postoperative pain management after hallux valgus surgery in patients receiving general anesthesia. Subjects and Methods: This randomized controlled trial investigated 60 patients who underwent hallux valgus surgery under general anesthesia. Patients were prospectively randomized into 2 groups: general anesthesia only (group A) and ankle block added to general anesthesia (group B). Age, body-mass index, tourniquet time, duration of surgery, first analgesic need time, perioperative analgesic regimen, visual analog scale (VAS), American Orthopedic Foot and Ankle Score (AOFAS), and length of hospital stay were recorded. Independent variables were analyzed by t test. Nonparametric data were analyzed by the Mann-Whitney U test. Results: Patient age, demographics, and body mass indices were similar between the 2 groups. The average length of hospital stay was significantly longer in group A (p < 0.01). Group B had a longer time to first analgesic need than group A (p < 0.01). Patients in group B required less analgesic during the postoperative period. Preoperative VAS and AOFAS scores were not statistically dif ferent between the 2 groups. The postoperative day 1 VAS score was significantly lower in group B than in group A. Follow-up visits at 3, 6, and 12 months showed significantly lower VAS and higher AOFAS scores in group B than group A. Conclusion: Ankle block added to general anesthesia may improve early and mid-term postoperative functional outcomes and postoperative pain management in patients who undergo hallux valgus surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Ankle Nerve Block Adjuvant to General Anesthesia Reduces Postsurgical Pain and Improves Functional Outcomes in Hallux Valgus Surgery

Kır

Kir

2018

Med Princ Pract

View full text Add to dashboard Cite

show abstract

“…До недоліків проксимальних блокад можна віднести можливість розвитку специфічних ускладнень (пошкодження тазових органів, інфекція), а також тривалий період порушення руху кінцівкою при проксимальних блокадах сідничного і стегнового нервів, що обмежує застосування цієї методики в амбулаторній травматології та відділеннях хірургії "одного дня", відносно велика протяжність симпатичного блоку [29,44,53].…”

Section: блокада сідничного нерва в поєднанні з блокадою стегнового нunclassified

“…При проведенні регіонарної анестезії на стопі і надп'ятково-гомілковому суглобі ряд авторів рекомендують як доповнення до основного блоку в підколінній ямці -блокаду підшкірного нерва стопи для анестезії в ділянці тилу стопи і великого пальця, а також блокаду литкового нерва, що іннервує латеральний край стопи і шкіру мізинця [23,29,53].…”

Section: Ankleblockunclassified

Mini-invasive methods of treatment of diabetic foot pain

Dmytriiev

Lysak

Glazov³

et al. 2019

PMJUA

View full text Add to dashboard Cite

Neuropathic pain occurs with diabetic polyneuropathy more often than with all polyneuropathies of another etiology. Because the cause of pain can rarely be cured, treatment is usually symptomatic. Neuropathic pain is usually poorly controlled by analgesics. Management of neuropathic pain is started with conservative pharmacotherapy before invasive pain management is applied. Although there are many drugs that can be used in patients with diabetic pain syndrome, pain syndrome can not be surely stoped with monotherapy. In addition, the patient may not tolerate the full therapeutic dose of the drug. All this dictates the need for combination therapy. It is believed that regional anesthesia as an independent type of analgesia or a component of combined anesthesia is the method of choice for the elderly and senile patients. The main reasons for this choice, when comparing regional anesthesia with narcosis, are less stressful response of the organism, absence of depression of the central nervous system, stable reliable analgesia with complete blockade of nociceptive reflexes with the provision of adequate muscle relaxation, prevention of neurovegetative reactions, which ultimately helps to reduce the incidence of postoperative complications and mortality. Clinicians have accumulated considerable experience demonstrating the need for regional analgesia in the management of diabetic foot pain.

show abstract

“…53 A recent PRCT (Level I evidence) 59 compared combined ankle and popliteal nerve blockade with ankle block alone for forefoot surgery. In general, toe procedures can be performed under a digital block and forefoot procedures under an ankle block.…”

Section: Which Block?mentioning

confidence: 99%