[A Clinical Comparison of Continuous Sciatic Nerve Block and Epidural Anesthesia for Postoperative Pain Control in Patients with Fracture of the Foot].

Abstract

BACKGROUND:

Epidural analgesia provides good pain relief for patients with fracture of the foot Ultrasound-guided peripheral nerve block offers safety and efficacy without affecting the leg.

METHODS:

We compared the continuous sciatic nerve block with the continuous epidural anesthesia regarding postoperative pain after the open reduction and internal fixation (ORIF) of the ankle fracture or calcaneal bone fracture.

RESULTS:

Fifteen patients were included in the epidural group (group E), and 17 patients in the sciatic nerve block group (group S). The postoperative pain scores were significantly lower in group S 3 hours and 12 hours after the procedure, and tended to be lower in other periods. Perioperative periods were uneventful in both groups.

CONCLUSIONS:

Continuous sciatic nerve block developed good postoperative analgesia in ORIF of ankle fracture or calcaneal bone fracture compared with continuous epidural anesthesia.

• Authors: Yoshimune Osaka, Naho Shimada, Rie Saito, Ikue Saito, Yuki Kozono, Takeshi Ando, Muneaki Shimada
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 64 Issue 4 Pg. 388-91 (Apr 2015) ISSN: 0021-4892 [Print] Japan
• PMID: 26419101 (Publication Type: Comparative Study, Journal Article)

Topics

• Anesthesia, Epidural (methods)
• Foot Bones (surgery)
• Fractures, Bone (surgery)
• Humans
• Middle Aged
• Nerve Block (methods)
• Pain Management
• Pain, Postoperative (drug therapy)
• Sciatic Nerve