Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report

Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report

ABSTRACT Individualized opioid‐free perioperative management, combining dual continuous peripheral nerve catheters targeting the popliteal sciatic and adductor canal nerves, non‐opioid pharmacologic agents, and adjunctive neuromodulation, offers robust multimodal analgesia. This approach supports bo...

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Bibliographic Details
Main Authors: Bi Mo, Sandra Sacks, Jerry Markar
Format: Article
Language:English
Published: Wiley 2025-08-01
Series:Clinical Case Reports
Subjects:
complex orthopedic fractures
hardware removal
opioid‐sparing strategies
perioperative pain management
peripheral neuromodulation
trimalleolar fractures
Online Access:https://doi.org/10.1002/ccr3.70713
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Summary:ABSTRACT Individualized opioid‐free perioperative management, combining dual continuous peripheral nerve catheters targeting the popliteal sciatic and adductor canal nerves, non‐opioid pharmacologic agents, and adjunctive neuromodulation, offers robust multimodal analgesia. This approach supports both ORIF and hardware removal in complex trimalleolar fractures while preserving function, reducing opioid‐related risks, and promoting faster recovery.
ISSN:2050-0904

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