Abstract | BACKGROUND: STUDY DESIGN: Prospective, randomized study. METHODS: Forty patients scheduled for ambulatory percutaneous hallux valgus repair were randomly assigned to two anesthesia and analgesia blocks: foot infiltration achieved by a mild foot block, or sciatic nerve block (30mL of 7.5% ropivacaine for each block). Surgery was performed without sedation or additional analgesia. Both groups were given oral paracetamol/ codeine and ketoprofene systematically; tramadol was added if necessary. Walking ability and pain scores were assessed for 48 postoperative hours. RESULTS: Demographic and morphometric characteristics, and duration of surgery were similar in each group. Pain scores were comparable and low in each group at rest and while walking. The time to ambulation without assistance was significantly less for patients in the infiltration group (3.8±1.4hours) than patients in the sciatic group (19.2±9.5hours; P<0.0001). CONCLUSION: After percutaneous hallux valgus repair, mid-foot block and sciatic nerve block provided comparable postoperative analgesia. However, mid-foot block seems preferable since the time to ambulation without assistance is much reduced.
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Authors | F Adam, E Pelle-Lancien, T Bauer, N Solignac, D I Sessler, M Chauvin |
Journal | Annales francaises d'anesthesie et de reanimation
(Ann Fr Anesth Reanim)
Vol. 31
Issue 11
Pg. e265-8
(Nov 2012)
ISSN: 1769-6623 [Electronic] France |
PMID | 23040791
(Publication Type: Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2012. Published by Elsevier SAS. |
Topics |
- Ambulatory Surgical Procedures
- Analgesia
- Female
- Hallux Valgus
(surgery)
- Humans
- Male
- Middle Aged
- Nerve Block
- Orthopedic Procedures
(methods)
- Pain, Postoperative
(prevention & control)
- Prospective Studies
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