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Progress of ultrasound-guided nerve block in foot and ankle arthroscopy

Huanjia Xue1,3, Shengze Yang2,3, Guangkuo Ma1,3, Ziwei Xia1,3, Liwei Wang1,3, Kai Wang 1,3


1Xuzhou Clinical College, 2School of Anesthesiology, Xuzhou Medical University, Xuzhou 221009, China. 3Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou 221009, China.


Address correspondence to: Kai Wang, Department of Anesthesiology, Xuzhou Central Hospital, No.199 Jiefang South Road, Quanshan District, Xuzhou 221009, Jiangsu, China. Tel: 18112012729. E-mail: wangkaistream99@ xzhmu.edu.cn.


Acknowledgement: This work was supported by Young Scientist Fund of National Natural Science Foundation of China (81700078) and Xuzhou Medical Key Talents program (XWRCHT20220051).


DOI: https://doi.org/10.61189/601268tfpowt


Received November 5, 2023; Accepted January 30, 2024; Published June 30, 2024


Highlights

● Foot and ankle arthroscopic techniques are vital for diagnosing and treating foot and ankle disorders.

● Ultrasound-guided nerve blocks in the foot and ankle provide precise nerve selection.


Abstract

Foot and ankle arthroscopy frequently results in severe perioperative swelling and pain. The ultrasound-guided nerve block technique stands out for its ability to offer reliable and potent pain relief. This technique not only promotes early functional exercise, but also realizes enhanced recovery after surgery, which has demonstrated significant advantages in the realm of foot and ankle arthroscopy. In recent years, blocking techniques targeting different nerve planes have been reported to expand the options available for clinical use. This article primarily describes the current application of foot and ankle arthroscopy, detailing various local nerve blocks under innervation and ultrasound guidance. By doing so, this review intends to provide insights for the selection of clinical anesthesia in foot and ankle arthroscopy.

Keywords: Nerve block, ultrasound guidance, foot and ankle arthroscopy, high ankle block, sciatic nerve block

Xue HJ, Yang SZ,  Ma GK, et al. Progress of ultrasound-guided nerve block in foot and ankle arthroscopy. Perioper Precis Med. 2024 Jun; 2 (2): 44-51. doi: 10.61189/601268tfpowt.
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