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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| Format: | Article |
| Language: | English |
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Wiley
2025-08-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70713 |
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| _version_ | 1849229033204613120 |
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| author | Bi Mo Sandra Sacks Jerry Markar |
| author_facet | Bi Mo Sandra Sacks Jerry Markar |
| author_sort | Bi Mo |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-9efead765205430080e9eda0b27f61ce |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-9efead765205430080e9eda0b27f61ce2025-08-22T07:33:07ZengWileyClinical Case Reports2050-09042025-08-01138n/an/a10.1002/ccr3.70713Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case ReportBi Mo0Sandra Sacks1Jerry Markar2Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine University of California, Los Angeles Los Angeles California USADivision of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine University of California, Los Angeles Los Angeles California USADivision of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine University of California, Los Angeles Los Angeles California USAABSTRACT 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.https://doi.org/10.1002/ccr3.70713complex orthopedic fractureshardware removalopioid‐sparing strategiesperioperative pain managementperipheral neuromodulationtrimalleolar fractures |
| spellingShingle | Bi Mo Sandra Sacks Jerry Markar Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report Clinical Case Reports complex orthopedic fractures hardware removal opioid‐sparing strategies perioperative pain management peripheral neuromodulation trimalleolar fractures |
| title | Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report |
| title_full | Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report |
| title_fullStr | Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report |
| title_full_unstemmed | Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report |
| title_short | Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report |
| title_sort | peripheral neuromodulation and opioid sparing strategies for mitigating perioperative pain in the stabilization and hardware removal of complex trimalleolar fractures a case report |
| topic | complex orthopedic fractures hardware removal opioid‐sparing strategies perioperative pain management peripheral neuromodulation trimalleolar fractures |
| url | https://doi.org/10.1002/ccr3.70713 |
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