Perioperative medicine & outcomes
Plantar Compartment Block Improves Enhanced Recovery after Hallux Valgus Surgery: A Randomized, Comparative, Double-blind Study
Authors' conclusion
PCB decreased the time to return to unaided walking, with improved gait, compared with PSNB, improving effective analgesia and low consumption of rescue analgesics.
Study context
- Population
- Patients scheduled for hallux valgus surgery59 analysed
- Participants
- 60 patients
- Comparison
- PCB vs Control
- PCBn = 30
- Controln = 29reference
- Primary endpoint
- Ability to walk unaided (GAITRite spatio-temporal gait analysis mat)
- Follow-up
- 6 h after PSNB
Methodological detailsprospective, double-blinded (patient; observing anesthesiologist)
- Prospective
- Double-blinded (patient; observing anesthesiologist)
Primary result
As reported in the abstract
Walking unaided on the GAITRite mat
P < 0.001
Further findings
Time to free ambulation at home
P < 0.001
| Outcome | PCB | Control | P value |
|---|---|---|---|
| Gait quality (Functional Ambulation Profile score) | 63 (SD 13.6) | 49.5 (SD 4.7) | P < 0.001 |
Postoperative pain
- Postoperative pain did not differ between the groups (β, P = 0.548)
- −0.41 [−1.78 to 0.95]
Steps on day 3, time to first rescue analgesic, rescue analgesia use, morphine consumption, patient's experience
- Did not differ between the groups
Original publication
Plantar Compartment Block Improves Enhanced Recovery after Hallux Valgus Surgery: A Randomized, Comparative, Double-blind Study. Anesthesiology. Published 5 August 2024. doi:10.
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