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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXII | Pages 34 - 34
1 May 2012
Russell D Pillai A Anderson K Kumar C
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Regional anaesthetic for foot surgery has been discussed as a method of post operative analgesia. Ankle block as the sole anaesthetic for foot surgery has not been extensively reviewed in the literature.

Aim

To describe our experience of forefoot surgery under ankle block.

Methods

71 consecutive forefoot procedures (65 patients) were carried out under ankle block. A mixture of 10ml 2% Lidocaine with 10ml 0.5 % Bupivacine was administered to the superficial peroneal, deep peroneal, sural and saphenous nerves. Ankle tourniquet was employed in all procedures. Patients were contacted post operatively and completed a standardised questionnaire including an incremented pain assessment ranging from 0-10 (0 no pain, 10 severe pain).