Popliteal Nerve Block for Postoperative Pain Control in Ankle and Hindfoot Reconstruction

University of Tennessee

Overview

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.

Study Type

OBSERVATIONAL

Conditions

Pain, Postoperative

Interventions

Survey of outcomes following popliteal nerve blockOTHER

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.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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)

Outcomes

Primary Outcomes

Pain rating

Measured by VAS

Time frame: Postoperative- through 12 weeks

Secondary Outcomes

Narcotic intake

Measured by data from hospital medical record and patient questionnaire

Time frame: Postoperative- through 12 weeks

Hospital length of stay

Measured by data from hospital medical record

Time frame: Postoperative- through day of hospital discharge (discharge same day of surgery to approximately 3 days postop)

Patient satisfaction

Measured by patient questionnaire

Time frame: Postoperative- through first surgical follow-up (up to 3 weeks)

Data from ClinicalTrials.gov

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