Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 9 , ISSUE S1 ( August, 2022 ) > List of Articles

RESEARCH ARTICLE

An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus Surgery

Bryan Loh, Akshay Padki, Szeying Thong, Nicholas EM Yeo

Keywords : Bunion, Functional outcome, Hallux valgus surgery, Peripheral nerve block, Regional anesthesia

Citation Information : Loh B, Padki A, Thong S, Yeo NE. An Evaluation of Peripheral Sciatic Nerve Block in Patients Undergoing Hallux Valgus Surgery. J Foot Ankle Surg Asia-Pacific 2022; 9 (S1):S157-S161.

DOI: 10.5005/jp-journals-10040-1185

License: CC BY-NC 4.0

Published Online: 29-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

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, p = 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, p = 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, p < 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.


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