scholarly journals Axonal Injury with Persistent Neuropathy following Popliteal Nerve Block for Cheilectomy Surgery

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Y. A. M. Kuijpers ◽  
J. M. Setz ◽  
K. Khemlani-Houthoff
Keyword(s):  
Axonal Injury ◽  
Nerve Conduction Studies ◽  
Neurological Symptoms ◽  
Distribution Area ◽  
Preventive Strategies ◽  
Foot And Ankle ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Ankle Surgery ◽  
Popliteal Block

Peripheral nerve blocks are often used for foot and ankle surgery. The occurrence of persistent neurological symptoms thereafter is very rare. Preventive strategies pose no guarantee and uncovering true etiology is often complicated. We discuss a case in which a young, healthy patient developed nerve damage after an uneventful popliteal block and cheilectomy. Nerve conduction studies revealed axonal injury in the distribution area of the sciatic nerve. The neurological symptoms persisted for more than 12 months, emotionally affecting the patient greatly. Patients will primarily report to the orthopedic surgeon, for whom cooperation with anaesthesia and neurology is of importance. Anesthetic involvement probably improves patient satisfaction during complication management.

scholarly journals A Two-Year, Prospective, Blinded Analysis of Complications Following Peripheral Nerve Blocks in Foot and Ankle Surgery

2016 ◽  
Vol 1 (1) ◽  
pp. 2473011416S0008
Author(s):  
Grace C. Kunas ◽  
Jodie Curren ◽  
Carey Ford ◽  
Kara Fields ◽  
Jacques YaDeau ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Foot And Ankle ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Ankle Surgery

scholarly journals Readiness for Discharge After Foot and Ankle Surgery Using Peripheral Nerve Blocks

2018 ◽  
Vol 127 (3) ◽  
pp. 759-766 ◽  
Author(s):  
Jacques T. YaDeau ◽  
Kara G. Fields ◽  
Richard L. Kahn ◽  
Vincent R. LaSala ◽  
Scott J. Ellis ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Foot And Ankle ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Ankle Surgery

Complications After Multiple-Site Peripheral Nerve Blocks for Foot and Ankle Surgery Compared With Popliteal Sciatic Nerve Block Alone

2018 ◽  
Vol 39 (6) ◽  
pp. 731-735 ◽  
Author(s):  
Young Uk Park ◽  
Jae Ho Cho ◽  
Doo Hyung Lee ◽  
Wan Sun Choi ◽  
Han Dong Lee ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Peripheral Nerve ◽  
Femoral Nerve ◽  
Smoking History ◽  
Complication Rates ◽  
Foot And Ankle ◽  
Multiple Site ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Ankle Surgery

Background: Single or combined multiple-site peripheral nerve blocks (PNBs) are becoming popular for patients undergoing surgery on their feet or ankles. These procedures are known to be generally safe in surgical settings compared with other forms of anesthesia, such as spinal block. The purposes of this study were to assess the incidence of complications after the administration of multiple PNBs for foot and ankle surgery and to compare the rates of complications between patients who received a single PNB and those who received multiple blocks. Methods: Charts were reviewed retrospectively to assess peri- and postoperative complications possibly related to the PNBs. The records of 827 patients who had received sciatic nerve blocks, femoral nerve blocks adductor canal blocks, or combinations of these for foot and/or ankle surgery were analyzed for complications. The collected data consisted of age, sex, body mass index, presence of diabetes mellitus, smoking history, tourniquet time, and complications both immediately postoperatively and 1 year later. Results: Of these 827 patients, 92 (11.1%) developed neurologic symptoms after surgery; 22 (2.7%) of these likely resulted from the nerve blocks, and 7 (0.8%) of these were unresolved after the patients’ last follow-up visits. There were no differences in complication rates between combined blocks and single sciatic nerve blocks. Conclusion: There were more complications, both transient and long term, after anesthetic PNBs than previous literature has reported. Combined multiple-site blocks did not increase the rate of neurologic complications. Level of Evidence: Level III, retrospective comparative study

Combined Popliteal and Saphenous Nerve Blocks at the Knee

2004 ◽  
Vol 94 (4) ◽  
pp. 368-374 ◽  
Author(s):  
Cornelius M. Donohue ◽  
Larry R. Goss ◽  
Samuel Metz ◽  
Michael S. Weingarten ◽  
Larry B. Dyal
Keyword(s):  
Peripheral Nerve ◽  
Spinal Anesthesia ◽  
Lower Leg ◽  
Saphenous Nerve ◽  
Foot And Ankle ◽  
Foot Surgery ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Ankle Surgery ◽  
The Common

Peripheral nerve blocks at the ankle have long been used for foot surgery. However, when local foot and ankle blocks are inappropriate or contraindicated, general and spinal anesthesia are the common alternatives. Both have disadvantages and require added equipment and monitors. Combined popliteal and saphenous nerve blocks at the knee can offer a desirable alternative to general and spinal anesthesia for foot and ankle surgery. In addition, popliteal and saphenous nerve blocks provide anesthesia of the entire lower leg, thus permitting a greater variety of procedures to be performed. This article reviews the anatomical considerations, various block techniques, and surgical applications of this useful approach to lower-leg anesthesia. (J Am Podiatr Med Assoc 94(4): 368–374, 2004)

Complications After Popliteal Block for Foot and Ankle Surgery

2015 ◽  
Vol 36 (10) ◽  
pp. 1138-1143 ◽  
Author(s):  
John G. Anderson ◽  
Donald R. Bohay ◽  
John D. Maskill ◽  
Kuldeep P. Gadkari ◽  
Thomas M. Hearty ◽  
...  
Keyword(s):  
Foot And Ankle ◽  
Ankle Surgery ◽  
Popliteal Block

Lateral Trans-Biceps Popliteal Block for Elective Foot and Ankle Surgery Performed after Induction of General Anesthesia

2006 ◽  
Vol 27 (9) ◽  
pp. 667-671 ◽  
Author(s):  
Mark J. Herr ◽  
Ario B. Keyarash ◽  
Jesse J. Muir ◽  
Todd A. Kile ◽  
Richard J. Claridge
Keyword(s):  
General Anesthesia ◽  
Foot And Ankle ◽  
Ankle Surgery ◽  
Popliteal Block
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