An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus Surgery
Background: This study aims to evaluate the use of popliteal sciatic nerve block (PSNB) on pain and functional outcome following hallux valgus (HV) surgery. Materials and methods: This retrospective review of 100 patients who underwent surgery by a single surgeon for symptomatic HV was categorized i...
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| Language: | English |
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Jaypee Brothers Medical Publisher
2022-07-01
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| Series: | Journal of Foot and Ankle Surgery (Asia Pacific) |
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| Online Access: | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1185 |
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| author | Bryan Loh Akshay Padki Szeying Thong Nicholas EM Yeo |
| author_facet | Bryan Loh Akshay Padki Szeying Thong Nicholas EM Yeo |
| author_sort | Bryan Loh |
| collection | DOAJ |
| description | Background: This study aims to evaluate the use of popliteal sciatic nerve block (PSNB) on pain and functional outcome following hallux valgus (HV) surgery.
Materials and methods: This retrospective review of 100 patients who underwent surgery by a single surgeon for symptomatic HV was categorized into two groups: 50 who received general anesthesia (GA) while the other 50 received an ultrasound-guided PSNB. The following outcome measures were then collected: visual analog scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS), and RAND 36-Item Health Survey scores.
Results: The 24-hour postoperative VAS score for the PSNB group was significantly lower than the GA group (0.66 vs 1.04, <italic>p</italic> = 0.035). Similarly, the average hourly VAS score in the immediate 6 hours after surgery for the PSNB group was significantly lower than the GA group (0.28 vs 0.49, <italic>p</italic> = 0.001). The VAS score for the PSNB group was significantly lower than the GA group at 6 months postoperatively (1.78 vs 0.50, <italic>p</italic> < 0.001).
Conclusion: The use of popliteal sciatic nerve block in hallux valgus surgery significantly reduces postoperative pain up to 6 months postsurgery when compared to general anesthesia alone.
Clinical significance: Popliteal sciatic nerve block can improve patients’ postoperative pain and function while reducing the need for oral or intravenous analgesics. |
| format | Article |
| id | doaj-art-aea6911d5ecc4571a1eb730a8698d585 |
| institution | OA Journals |
| issn | 2348-280X 2394-7705 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Foot and Ankle Surgery (Asia Pacific) |
| spelling | doaj-art-aea6911d5ecc4571a1eb730a8698d5852025-08-20T02:27:50ZengJaypee Brothers Medical PublisherJournal of Foot and Ankle Surgery (Asia Pacific)2348-280X2394-77052022-07-019S1S157S16110.5005/jp-journals-10040-11854An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus SurgeryBryan Loh0Akshay Padki1Szeying Thong2Nicholas EM Yeo3Department of Orthopaedic Surgery, Singapore General Hospital, SingaporeAkshay Padki, Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, Phone: +65 87404253Department of Anesthesiology, Singapore General Hospital, SingaporeDepartment of Orthopaedic Surgery, Singapore General Hospital, SingaporeBackground: This study aims to evaluate the use of popliteal sciatic nerve block (PSNB) on pain and functional outcome following hallux valgus (HV) surgery. Materials and methods: This retrospective review of 100 patients who underwent surgery by a single surgeon for symptomatic HV was categorized into two groups: 50 who received general anesthesia (GA) while the other 50 received an ultrasound-guided PSNB. The following outcome measures were then collected: visual analog scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS), and RAND 36-Item Health Survey scores. Results: The 24-hour postoperative VAS score for the PSNB group was significantly lower than the GA group (0.66 vs 1.04, <italic>p</italic> = 0.035). Similarly, the average hourly VAS score in the immediate 6 hours after surgery for the PSNB group was significantly lower than the GA group (0.28 vs 0.49, <italic>p</italic> = 0.001). The VAS score for the PSNB group was significantly lower than the GA group at 6 months postoperatively (1.78 vs 0.50, <italic>p</italic> < 0.001). Conclusion: The use of popliteal sciatic nerve block in hallux valgus surgery significantly reduces postoperative pain up to 6 months postsurgery when compared to general anesthesia alone. Clinical significance: Popliteal sciatic nerve block can improve patients’ postoperative pain and function while reducing the need for oral or intravenous analgesics.https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1185bunionfunctional outcomehallux valgus surgeryperipheral nerve blockregional anesthesia |
| spellingShingle | Bryan Loh Akshay Padki Szeying Thong Nicholas EM Yeo An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus Surgery Journal of Foot and Ankle Surgery (Asia Pacific) bunion functional outcome hallux valgus surgery peripheral nerve block regional anesthesia |
| title | An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus Surgery |
| title_full | An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus Surgery |
| title_fullStr | An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus Surgery |
| title_full_unstemmed | An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus Surgery |
| title_short | An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus Surgery |
| title_sort | evaluation of peripheral sciatic nerve block in patients undergoing hallux valgus surgery |
| topic | bunion functional outcome hallux valgus surgery peripheral nerve block regional anesthesia |
| url | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1185 |
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