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Related Experiment Video

Updated: Feb 20, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
15:04

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Continuous Wound Infiltration After Hallux Valgus Surgery.

Matthias Braito1, Dietmar Dammerer1, Andreas Schlager2

  • 11 Department of Orthopedic Surgery, Medical University of Innsbruck, Innsbruck, Austria.

Foot & Ankle International
|October 28, 2017
PubMed
Summary

Continuous wound infiltration (CWI) with ropivacaine did not significantly reduce pain after hallux valgus surgery. This study found no difference in pain levels or narcotic use between ropivacaine and placebo groups.

Keywords:
bunionectomycontinuous wound infiltrationcontinuous wound infusionfoot and ankle surgeryhallux valgus surgery

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Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Anesthesiology

Background:

  • Hallux valgus surgery often results in considerable early postoperative pain.
  • Effective pain management strategies are crucial for patient recovery and satisfaction.

Purpose of the Study:

  • To evaluate the efficacy of continuous wound infiltration (CWI) with ropivacaine for managing pain following hallux valgus surgery.

Main Methods:

  • A prospective, randomized, double-blind, placebo-controlled trial involving 50 patients undergoing distal metatarsal osteotomy.
  • Patients received either CWI with ropivacaine (2 mg/mL at 2 mL/h) or placebo for 24 hours postoperatively.
  • Primary outcomes included average and peak pain levels (NRS) within 48 hours; secondary outcomes covered narcotic consumption, clinical results, complications, and patient satisfaction.

Main Results:

  • No statistically significant difference was observed in mean (P = .596) or peak (P = .353) postoperative pain levels between the ropivacaine and placebo groups.
  • Narcotic consumption and other secondary outcomes also showed no significant differences between the groups (P = .354).
  • Two severe complications (local dysesthesia, catheter fixation issue) and five catheter dislocations occurred.

Conclusions:

  • Continuous wound infiltration with ropivacaine at the specified dosage and duration did not effectively reduce postoperative pain in patients undergoing hallux valgus surgery in an inpatient setting.