Pain, Postoperative
Conditions
Keywords
Nerve block, Ankle, Talus, Pain, Postoperative
Brief summary
The purpose of this study is to evaluate outcomes of popliteal nerve blocks for postoperative pain control in patients undergoing ankle and hindfoot reconstruction surgeries. The following outcomes will be analyzed: length of hospital stay, level of pain control, pain medication use, complications, and patient satisfaction.
Interventions
Patients will be instructed to complete journals of pain and narcotic use until postoperative day 10. On first follow-up visit, patients will complete a patient satisfaction survey. VAS Pain scores and pain medication use will be collected up to 12 weeks postoperatively.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients ≥ 18 years old * Patients undergoing ankle, subtalar, pantalar, triple, or tibiotalocalcaneal arthrodesis (CPT codes 27870, 28715, 28725, or 28740) * Patients undergoing total ankle arthroplasty (CPT code 27702) * Patients with a preoperative surgical plan to receive a popliteal nerve block during the postoperative period * Patients whom can be reasonably expected to understand and comply with patient-reported postoperative data collection and surveys
Exclusion criteria
* Patients undergoing an ankle or hindfoot reconstruction procedure whom are medically ineligible to receive a safe popliteal nerve block (i.e. patients with neuropathy) * Patients with documented substance abuse (i.e. history of narcotic abuse could confound pain outcomes)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain rating | Postoperative- through 12 weeks | Measured by VAS |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Narcotic intake | Postoperative- through 12 weeks | Measured by data from hospital medical record and patient questionnaire |
| Hospital length of stay | Postoperative- through day of hospital discharge (discharge same day of surgery to approximately 3 days postop) | Measured by data from hospital medical record |
| Patient satisfaction | Postoperative- through first surgical follow-up (up to 3 weeks) | Measured by patient questionnaire |