Anesthesia and postoperative analgesia after percutaneous hallux valgus repair in ambulatory patients

Adam, Frédéric; Pelle-Lancien, Emilie; Bauer, Thomas; Solignac, N.; Sessler, Daniel I.; Chauvin, M.

doi:10.1016/j.annfar.2012.07.022

Cited by 24 publications

(15 citation statements)

References 17 publications

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“…126 For hallux valgus repair, mid-foot block and sciatic nerve block provided comparable postoperative analgesia, with slight advantages for the foot block because of reduced time to ambulation. 127 Compared with oral medication, posterior tibial nerve blocks led to significantly lower pain scores at 4, 12, and 24 h postoperatively and less need for rescue analgesia, as well as a high level of patient satisfaction. 128 For open repair of calcaneal fractures, either presurgical or postsurgical sciatic nerve blocks resulted in reduced pain scores and less morphine consumption.…”

Section: Sciatic Nervementioning

confidence: 87%

Peripheral regional anaesthesia and outcome: lessons learned from the last 10 years

Keßler

Marhofer

Hopkins

et al. 2015

British Journal of Anaesthesia

106

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The majority of peripheral regional anaesthetic techniques have been shown to produce benefits for patients and hospital efficiency. Further interventional trials are required to clarify such benefits for supraclavicular block and transversus abdominis plane block and to ascertain any longer-term benefits for almost all of the blocks reviewed. Permanent complications of peripheral regional anaesthetic blocks are rare but accurate estimates of their incidence are yet to be determined.

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Section: Sciatic Nervementioning

confidence: 87%

Peripheral regional anaesthesia and outcome: lessons learned from the last 10 years

Keßler

Marhofer

Hopkins

et al. 2015

British Journal of Anaesthesia

106

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“…The conventional nerve block techniques for forefoot surgery are popliteal sciatic nerve block or ankle nerve blocks . The technique of popliteal sciatic nerve block has better analgesic effect than subcutaneous infiltration in foot surgery, but popliteal sciatic nerve block may impair immediate postoperative ambulance and is associated with common peroneal nerve damage or residual sensory dysfunction; therefore, blocking the distal braches of the sciatic nerve that provide comprehensive coverage of the area related to HV correction surgery while preserving the motor function of ankle should be considered.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical correction is indicated in patients with severe pain and deformity after failure of conservative treatment. However, many patients have reported moderate to severe postoperative pain after HV correction surgery . Early mobilization and discharge from hospital after surgery are encouraged in these patients.…”

Section: Introductionmentioning

confidence: 99%

Pretreatment of ankle nerve block provides better postoperative analgesia than peri‐incisional local anesthetic infiltration in hallux valgus correction surgery

Huang

Tseng

et al. 2019

The Kaohsiung J of Med Scie

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Adequate postoperative analgesia after hallux valgus (HV) correction surgery improves early mobilization and decreases hospital stay. Peripheral nerve block and peri‐incisional local anesthetic (LA) infiltration are both widely used for pain management in orthopedic surgeries. The aim of this study was to compare the analgesic effects between the ankle block and peri‐incisional infiltration technique in patients undergoing HV correction surgery. Ninety patients scheduled for hallux valgus correction surgery were randomly allocated into three groups. In group N, patients were pretreated with tibial and peroneal nerve blocks with 8‐10 mL of 0.25% bupivacaine before surgery. In group P, patients received the same LA for peri‐incisional infiltration preoperatively. In group C, patients underwent surgery without regional analgesic pretreatment. All patients had intravenous fentanyl patient control analgesia as part of multimodal postoperative pain management. Fentanyl consumption, rest and moving pain scale, and adverse effects were evaluated at postoperative 6 h (Poh6), Poh12, Poh 24, and Poh36, respectively. Patients receiving bilateral feet surgeries were excluded in this study. Seventy‐five patients were enrolled into final analysis. The patients in group N expressed lower resting and moving pain scores at Poh6, but the pain scores turned similarly among the three groups following Poh12 and then. The total fentanyl consumption was significantly less in group N than in group P. The postoperative activities and mood disturbance were not significantly different between groups after Poh12 and then. We conclude that ankle block is better than peri‐incisional LA infiltration in HV correction surgery in pain relief and fentanyl consumption.

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“…Na literatura, o bloqueio poplíteo é um método de bloqueio local bem documentado para cirurgia do pé e do tornozelo. Quando comparado com infiltração local (em médio pé), para cirurgias percutâneas de hálux valgo, percebeu-se resultados semelhantes no controle de dor pós--operatório, no entanto, o bloqueio poplíteo favorece um período de analgesia mais longo, em média 13 horas (12) . Em relação à raquianestesia, o bloqueio poplíteo apresentou EVA significativamente menor nas primeiras 12 horas, mas o escore de dor se assemelha em 24h (13) .…”

Section: Discussionunclassified

Assessment of pain levels in patients undergoing foot surgery

Albuquerque¹,

Teixeira²,

Juste³

et al. 2018

Sci J Foot Ankle

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Objective: To analyze the use of an anesthetic ankle block in the immediate postoperative period in patients undergoing foot surgery to evaluate the quality of postoperative recovery and in-hospital opioid use. Methods: Presentation of the preliminary results of a randomized, placebo-controlled, double-blind trial conducted from May 2016 to January 2017, with 16 patients undergoing surgery to correct foot pathologies. The patients in the intervention group were treated with an additional ankle block and compared to a control group. Results: The intervention group included eleven patients, of whom ten had mild pain, with a mean visual analog pain scale (VAS) score of 3 and a mean quality of post-surgical recovery (QoR-40) of 194; none of these patients required the use of opioids. The control group included five patients. Of these, one patient had severe pain and two showed moderate pain. The mean VAS score in this group was 4, and the mean QoR-40 was 190. Three patients from this group required opioids. Conclusion: The use of an ankle block in the 24 h immediately post-surgery reduced pain scores and the need for opioid use and improvedpostoperative recovery. Level of Evidence I; Therapeutic Studies; Randomized Clinical Study.

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Anesthesia and postoperative analgesia after percutaneous hallux valgus repair in ambulatory patients

Cited by 24 publications

References 17 publications

Peripheral regional anaesthesia and outcome: lessons learned from the last 10 years

Peripheral regional anaesthesia and outcome: lessons learned from the last 10 years

Pretreatment of ankle nerve block provides better postoperative analgesia than peri‐incisional local anesthetic infiltration in hallux valgus correction surgery

Assessment of pain levels in patients undergoing foot surgery

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