Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Ankle Joint01:10

Ankle Joint

1.9K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.9K
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

608
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
608
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

23
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
23
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

823
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
823

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Medial tarsometatarsal injuries lead to overall post-traumatic osteoarthritis in 1 in 3 patients: a systematic review and meta-analysis.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie·2026
Same author

Pain-Adapted Full Weight-bearing After Ankle Fracture Surgery: A Multicenter, Pragmatic, Single-armed Prospective Study.

Deutsches Arzteblatt international·2026
Same author

Arthroplasty for femoral neck fracture of the elderly: a narrative review.

EFORT open reviews·2026
Same author

Risk Factors of Nonunion After Anterior Screw Fixation of Anderson and D'Alonzo Type II Odontoid Fractures.

In vivo (Athens, Greece)·2026
Same author

[Intramedullary limb lengthening and bone segment transport].

Unfallchirurgie (Heidelberg, Germany)·2026
Same author

The Diagnosis, Treatment, and Aftercare of Ankle Fractures.

Deutsches Arzteblatt international·2026

Related Experiment Video

Updated: Sep 21, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

11.9K

"High ankle block" for surgery at the ankle joint.

Klaus F Hofmann-Kiefer1, Federico Gaube2, Philipp Groene1

  • 1Clinic of Anesthesiology, Intensive Care and Pain Medicine, University Hospital of Munich, Ludwig Maximilians University of Munich, Germany.

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
|June 2, 2022
PubMed
Summary

A novel "high ankle block" technique offers effective regional anesthesia for ankle surgery, overcoming limitations of the classic ankle block. This ultrasound-guided approach provides a viable alternative for outpatient procedures.

Keywords:
Ankle blockAnkle jointAnkle surgeryDistal sciatic blockRegional anesthesia

More Related Videos

A Mouse Model of Ankle-Subtalar Complex Joint Instability
09:14

A Mouse Model of Ankle-Subtalar Complex Joint Instability

Published on: October 28, 2022

1.5K
Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

10.4K

Related Experiment Videos

Last Updated: Sep 21, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

11.9K
A Mouse Model of Ankle-Subtalar Complex Joint Instability
09:14

A Mouse Model of Ankle-Subtalar Complex Joint Instability

Published on: October 28, 2022

1.5K
Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

10.4K

Area of Science:

  • Anesthesiology
  • Regional Anesthesia
  • Surgical Procedures

Background:

  • Outpatient ankle surgery is common.
  • Classic ankle blocks are often inadequate for ankle region surgery due to distal injection sites.
  • A need exists for improved regional anesthesia techniques for ankle procedures.

Purpose of the Study:

  • To introduce and evaluate the efficacy of a "high ankle block" technique.
  • To address the limitations of the classic ankle block for ankle surgery.
  • To expand the utility of regional anesthesia in outpatient settings.

Main Methods:

  • The "high ankle block" involves proximal injection sites, 15 cm above the malleoli.
  • Three nerves are accessed via a circumferential subcutaneous wall.
  • Ultrasound guidance is used for the Posterior Tibial Nerve and Deep Peroneal Nerve.

Main Results:

  • A case series of 3 patients demonstrated the technique's efficacy.
  • The "high ankle block" was successfully used as a sole anesthetic method.
  • No additional general anesthesia was required in the presented cases.

Conclusions:

  • The "high ankle block" is a valuable ultrasound-guided extension of classic regional anesthesia techniques.
  • This method expands the operative possibilities for ankle region surgery.
  • It offers a promising approach for outpatient ankle procedures.