Regional anesthesia in foot and ankle surgery
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Updated: Nov 4, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
T H Lee1, K L Wapner, P J Hecht
1Orthopaedic Institute, Grant Medical Center, Columbus, Ohio, USA.
Abstract:
A method of regional anesthesia use in forefoot and midfoot surgery is described. Careful identification of the peripheral sensory nerves allows for effective anesthesia using bupivacaine and lidocaine in addition to sedation for comfort. A review of 355 patients showed that 98% received an effective surgical block of the sensory nerves. Complications were found to be minimal and patient satisfaction was high. This method provides a safe and effective anesthesia alternative for foot and ankle surgery.
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