Format

Send to

Choose Destination
J Orthop Trauma. 2004 Apr;18(4):197-201.

Sciatic nerve blockade improves early postoperative analgesia after open repair of calcaneus fractures.

Author information

1
Department of Anesthesiology, University of Washington School of Medicine, Harborview Medical Center, Seattle, WA, USA. JeremyCo@adhb.govt.nz

Abstract

OBJECTIVE:

To determine the effectiveness of analgesia, with or without sciatic nerve blockade, after open repair of calcaneus fracture.

DESIGN:

Randomized, prospective trial involving 30 patients divided into 3 groups of 10, all having open repair of calcaneus fractures. Group 1 used morphine patient-controlled analgesia alone. Groups 2 and 3 had morphine patient-controlled analgesia and a "one-shot" bupivacaine sciatic nerve blockade, either presurgically (group 2) or postsurgically (group 3).

SETTING:

Harborview Medical Center operating rooms and orthopedic floors.

OUTCOME MEASURES:

Morphine use over 24 hours, visual analogue scale pain scores, and sciatic nerve blockade duration.

RESULTS:

In the absence of sciatic nerve blockade, initial postoperative pain was marked, even with a mean recovery room dose of intravenous morphine more than 30 mg. Sciatic nerve blockade with bupivacaine had a mean duration of 14 hours and substantially reduced pain for the first 24 postoperative hours. Presurgical blockade confers no advantage over postsurgical blockade.

CONCLUSION:

Sciatic nerve blockade confers significant benefit over morphine alone for analgesia after open repair of calcaneus fractures. Postsurgical sciatic nerve blockade provides the longest possible postoperative block duration.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center