Comparative Evaluation of Two Different Post-Operative Analgesia after Hallux Valgus Correction in Day Surgery Patients
INTRODUCTION: The aim of this study was the evaluation of two different techniques on post-operative analgesia and motor recovery after hallux valgus correction in one-day surgery patients. MATERIALS AND METHODS: We enrolled 26 patients scheduled for hallux valgus surgery and treated with the same...
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Orthopaedic Association
2020-07-01
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| Series: | Malaysian Orthopaedic Journal |
| Subjects: | |
| Online Access: | https://www.morthoj.org/2020/v14n2/analgesia-hallux-valgus.pdf |
| _version_ | 1819320025859751936 |
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| author | Galli M Vergari A Vitiello R Nestorini R Peruzzi M Chierichini A Spinazzola G Rossi M |
| author_facet | Galli M Vergari A Vitiello R Nestorini R Peruzzi M Chierichini A Spinazzola G Rossi M |
| author_sort | Galli M |
| collection | DOAJ |
| description | INTRODUCTION: The aim of this study was the evaluation of two different techniques on post-operative analgesia and
motor recovery after hallux valgus correction in one-day surgery patients.
MATERIALS AND METHODS: We enrolled 26 patients scheduled for hallux valgus surgery and treated with the same surgical technique (SCARF osteotomy). After subgluteal sciatic nerve block with a short acting local anaesthetic (Mepivacaine 1.5%, 15ml), each patient received an ultrasound-guided Posterior Tibialis Nerve Block (PTNB) with Levobupivacaine 0.5% (7-8ml). We measured the postoperative intensity of pain using a Visual Analogue Scale (VAS), the consumption of oxycodone after operative treatment and the motor recovery. VAS was detected at baseline (time 0, before the surgery) and at 3, 6, 12 and 24 hours after the operative procedure (T1, T2, T3, T4 respectively). Control group of 26 patients were treated with another post-operative analgesia technique: local infiltration (Local Infiltration Anaesthesia, LIA) with Levobupivacaine 0.5% (15ml) performed by the surgeon.
RESULTS: PTNB group showed a significant reduction of VAS score from the sixth hour after surgery compared to LIA group (p<0.028 at T2, p<0.05 at T3 and p<0.002 at T4,
respectively). Instead, no significant differences were found
in terms of post-operative oxycodone consumption and
motor recovery after surgery.
CONCLUSIONS: PTNB resulted in a valid alternative to LIA
approach for post-operative pain control due to its better
control of post-operative pain along the first 24 hours. In a
multimodal pain management according to ERAS protocol,
both PTNB and LIA should be considered as clinically
effective analgesic techniques. |
| first_indexed | 2024-12-24T11:13:01Z |
| format | Article |
| id | doaj.art-2883ff7845514b20accca266fce89b70 |
| institution | Directory Open Access Journal |
| issn | 1985-2533 2232-111X |
| language | English |
| last_indexed | 2024-12-24T11:13:01Z |
| publishDate | 2020-07-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj.art-2883ff7845514b20accca266fce89b702022-12-21T16:58:27ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2020-07-01142576310.5704/MOJ.2007.013Comparative Evaluation of Two Different Post-Operative Analgesia after Hallux Valgus Correction in Day Surgery PatientsGalli M0Vergari A1Vitiello R2Nestorini R3Peruzzi M4Chierichini A5Spinazzola G6Rossi M7MDMDMDMDMDMDMDMDINTRODUCTION: The aim of this study was the evaluation of two different techniques on post-operative analgesia and motor recovery after hallux valgus correction in one-day surgery patients. MATERIALS AND METHODS: We enrolled 26 patients scheduled for hallux valgus surgery and treated with the same surgical technique (SCARF osteotomy). After subgluteal sciatic nerve block with a short acting local anaesthetic (Mepivacaine 1.5%, 15ml), each patient received an ultrasound-guided Posterior Tibialis Nerve Block (PTNB) with Levobupivacaine 0.5% (7-8ml). We measured the postoperative intensity of pain using a Visual Analogue Scale (VAS), the consumption of oxycodone after operative treatment and the motor recovery. VAS was detected at baseline (time 0, before the surgery) and at 3, 6, 12 and 24 hours after the operative procedure (T1, T2, T3, T4 respectively). Control group of 26 patients were treated with another post-operative analgesia technique: local infiltration (Local Infiltration Anaesthesia, LIA) with Levobupivacaine 0.5% (15ml) performed by the surgeon. RESULTS: PTNB group showed a significant reduction of VAS score from the sixth hour after surgery compared to LIA group (p<0.028 at T2, p<0.05 at T3 and p<0.002 at T4, respectively). Instead, no significant differences were found in terms of post-operative oxycodone consumption and motor recovery after surgery. CONCLUSIONS: PTNB resulted in a valid alternative to LIA approach for post-operative pain control due to its better control of post-operative pain along the first 24 hours. In a multimodal pain management according to ERAS protocol, both PTNB and LIA should be considered as clinically effective analgesic techniques.https://www.morthoj.org/2020/v14n2/analgesia-hallux-valgus.pdfhallux valgusscarf osteotomyregional anaesthesiapaineras |
| spellingShingle | Galli M Vergari A Vitiello R Nestorini R Peruzzi M Chierichini A Spinazzola G Rossi M Comparative Evaluation of Two Different Post-Operative Analgesia after Hallux Valgus Correction in Day Surgery Patients Malaysian Orthopaedic Journal hallux valgus scarf osteotomy regional anaesthesia pain eras |
| title | Comparative Evaluation of Two Different Post-Operative Analgesia after Hallux Valgus Correction in Day Surgery Patients |
| title_full | Comparative Evaluation of Two Different Post-Operative Analgesia after Hallux Valgus Correction in Day Surgery Patients |
| title_fullStr | Comparative Evaluation of Two Different Post-Operative Analgesia after Hallux Valgus Correction in Day Surgery Patients |
| title_full_unstemmed | Comparative Evaluation of Two Different Post-Operative Analgesia after Hallux Valgus Correction in Day Surgery Patients |
| title_short | Comparative Evaluation of Two Different Post-Operative Analgesia after Hallux Valgus Correction in Day Surgery Patients |
| title_sort | comparative evaluation of two different post operative analgesia after hallux valgus correction in day surgery patients |
| topic | hallux valgus scarf osteotomy regional anaesthesia pain eras |
| url | https://www.morthoj.org/2020/v14n2/analgesia-hallux-valgus.pdf |
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