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[Forefoot surgery under regional anesthesia].

J Pilný1, J Kubes

  • 1Ortopedické oddelení Krajské nemocnice, Pardubice.

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|May 14, 2005
PubMed
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Peripheral nerve block offers superior postoperative pain relief for forefoot surgery compared to general or infiltration anesthesia. This method also shows fewer wound healing complications, enhancing patient recovery and comfort.

Area of Science:

  • Anesthesiology
  • Orthopedic Surgery
  • Pain Management

Background:

  • Forefoot surgery presents challenges in postoperative pain control.
  • Various anesthesia techniques are employed, each with distinct outcomes.
  • Evaluating anesthesia methods for forefoot surgery is crucial for optimizing patient care.

Purpose of the Study:

  • To present the technique of lower limb peripheral nerve block for forefoot surgery.
  • To compare peripheral nerve block with general and infiltration anesthesia regarding postoperative analgesia and complications.

Main Methods:

  • 164 patients undergoing forefoot surgery were analyzed.
  • Anesthesia groups included general (77), infiltration (54), and peripheral nerve block (33).
  • Peripheral nerve block involved Marcain administered to peroneal, tibial, and sural nerves.

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Main Results:

  • Peripheral nerve block provided analgesia for an average of 9.5 hours, significantly longer than infiltration (2.5 hours) or general anesthesia (<30 min).
  • Wound healing complications were lower with peripheral nerve block (6%) compared to infiltration (11%) and general anesthesia (5%).
  • 28 out of 33 patients preferred peripheral nerve block for future surgeries.

Conclusions:

  • Peripheral nerve block offers effective, long-lasting postoperative analgesia for forefoot surgery.
  • This technique is associated with reduced wound healing complications compared to infiltration anesthesia.
  • Peripheral nerve block is a safe alternative, especially for patients at risk with general anesthesia, improving postoperative comfort.