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Foot & Ankle

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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XLIII | Pages 7 - 7
1 Sep 2012
Dudkiewicz I Burg A Tytiun Y Velkes S Heller S
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Background

Forefoot surgery is often performed under regional anaesthesia (ankle block) in awake patients, using tourniquet or esmarch bandage to obtain bloodless field. The purpose of this study was to examine the value and need for local tourniquet pain control using local subcutaneous analgesic mixture in patients undergoing forefoot surgery under regional anaesthesia.

We prospectively randomized 56 patients who underwent forefoot surgery under ankle block to receive subcutaneous local anaesthetic mixture under the tourniquet. We checked for local tourniquet pain score (VAS 0–100) and skin condition during and after the procedure.

Results

Tourniquet was quite tolerable in both groups, with an average VAS score of 7–21. No difference was observed between groups throughout most of the procedure. No correlation between VAS scores and procedure length or patient's age or gender.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XLIII | Pages 42 - 42
1 Sep 2012
Burg A Hadash O Tityun Y Salai M Dudkiewicz I
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Background

Hallux valgus is a complex deformity of the first ray and forefoot, which can be surgically treated by different procedures and osteotomies. Preoperative planning includes antero-posterior and lateral plain films. The effect of weightbearing on the results of the standardized measurements is still the subject of debate.

Materials and Methods

We evaluated the effect of weightbearing on the results of measurements and decision making by expert evaluators. Twenty one expert foot & ankle surgeons were given weightbearing and nonweightbearing anteroposterior plain foot films of patients with hallux valgus. They were asked to measure three standard angles and then to select the most appropriate procedure out of a short list.