Femoral vs sciatic nerve block to provide analgesia after medial open wedge high tibial osteotomy in the setting of multimodal analgesia: A randomized, controlled, single-blinded trial
Authors' conclusion
This trial failed to demonstrate that a femoral nerve block provides superior analgesia to a sciatic nerve block after MOW HTO under general anesthesia in the setting of multimodal analgesia.
Study context
- Population
- Patients undergoing medial open wedge high tibial osteotomy (MOW HTO) with multimodal analgesia (IV morphine PCA, paracetamol, ibuprofen)
- Participants
- 50 patients
- Comparison
- Femoral vs sciatic nerve block with multimodal analgesia
- Primary endpoint
- IV morphine consumption
- Follow-up
- 24 h postoperatively
Methodological detailssingle-blind
- Single-blind
Primary result
As reported in the abstract
P = 0.98
Secondary outcomes
Rest and dynamic pain scores (NRS out of 10) at 2, 24 and 48 h; functional outcomes (SF-12, KOOS, International Knee Documentation Committee (IKDC)) at 6 months
- No significant differences between groups
Original publication
Femoral vs sciatic nerve block to provide analgesia after medial open wedge high tibial osteotomy in the setting of multimodal analgesia: A randomized, controlled, single-blinded trial. J Clin Anesth. Published 21 December 2023. doi:10.
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