ICJR Interviews: Controlling Pain after Ankle Fracture Surgery

    A continuous popliteal sciatic nerve block is an effective means of controlling pain after ankle fracture surgery, eliminating the rebound pain that commonly occurs with a single-shot popliteal nerve block.

    That’s the conclusion of a pair of studies conducted by surgeons at NYU Langone Medical Center.

    Nirmal C. Tejwani, MD, and his colleagues first compared pain management in patients who received either general anesthesia alone or general anesthesia plus single-shot popliteal nerve block. The nerve block group had better pain control, but rebound pain occurred as the nerve block was wearing off.

    To determine if they could extend the effectiveness of the nerve block, Dr. Tejwani said they then compared patients who received the single-shot nerve block with those who had a continuous infusion of anesthetic for 48 hours. The continuous nerve block group was found to have better pain control, he said, with no evidence of rebound pain.

    The data from the 2 studies were combined and reported at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando.

    Click the image above to hear Dr. Tejwani’s comments on the study, “Efficacy of Immediate Postoperative Pain Control Modalities after Ankle Fracture Fixation” (Paper 262).

    Producer: Susan Doan-Johnson; Director: Michael Bugera; Post Production: Charles J. Maynard