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Sciatic nerve block causing heel ulcer after total knee replacement in 36 patients.

Manoj Todkar1

  • 1Nuffield Orthopaedic Centre, Oxford, UK. mtodkar@hotmail.com

Acta Orthopaedica Belgica
|February 8, 2006
PubMed
Summary

Peripheral nerve blocks for knee replacement surgery can lead to heel ulcers, delaying patient recovery. Protecting pressure points post-nerve block is crucial to prevent these complications and ensure timely rehabilitation.

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Area of Science:

  • Orthopedic Surgery
  • Anesthesiology
  • Patient Safety

Background:

  • Femoral and sciatic nerve blocks are standard for pain management after knee replacement.
  • Peripheral nerve blocks can cause sensory and motor deficits, increasing risks for patients.

Purpose of the Study:

  • To report on the occurrence of heel ulcers following peripheral nerve blocks in knee replacement patients.
  • To highlight the impact of these ulcers on patient recovery and healthcare costs.

Main Methods:

  • Case review of patients undergoing knee replacement with peripheral nerve blocks.
  • Analysis of complications, specifically heel ulcer formation.

Main Results:

  • Heel ulcers were observed in some patients post-nerve block and knee replacement.

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  • These ulcers led to delayed rehabilitation and extended hospital stays.

    • Conclusions:

    • Heel ulcers are an under-recognized complication of peripheral nerve blocks in knee replacement surgery.
    • Implementing protective measures for foot pressure points is essential to prevent ulcers and improve patient outcomes.