Analgesic efficacy of local versus proximal nerve blocks after hallux valgus surgery: a systematic review

Background Hallux valgus (HV) surgery is an orthopaedic procedure that commonly causes mild to moderate postoperative pain. Effective management of this pain has become an important element of modern hallux valgus surgical treatment. A local anaesthetic (LA) with an antinociceptive effect can contro...

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Bibliographic Details
Published in:Journal of foot and ankle research 2022-10, Vol.15 (1), p.1-n/a
Main Author: Ravanbod, Hamid Reza
Format: Article
Language:English
Subjects:
Analgesic effect
Analgesics
Analysis
Ankle
Bias
Bunion
Bunionectomy
Care and treatment
Clinical trials
Hallux valgus
Lidocaine
Measurement techniques
Narcotics
Nerve block
Pain
Pain perception
Patients
Postoperative pain
Review
Surgery
Systematic review
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Summary:Background Hallux valgus (HV) surgery is an orthopaedic procedure that commonly causes mild to moderate postoperative pain. Effective management of this pain has become an important element of modern hallux valgus surgical treatment. A local anaesthetic (LA) with an antinociceptive effect can control this pain. However, relatively few papers have evaluated this strategy in depth. The objective of the current systematic review was to address this demand by comparing the efficacy of proximal and local blocks in controlling postoperative pain following hallux valgus surgery. Main text Ovid‐MEDLINE, Cochrane Central, PubMed, Web of Science (WOS), Scopus, and Embase were searched from their inceptions through December 29, 2021. Observational and clinical trial publications in peer‐reviewed English‐language journals with a sample size of at least 20 were included. The trials involved adults over 18 who could describe their discomfort and had a bunionectomy. The included studies were evaluated using the Cochrane risk of bias 2 method. Descriptive analysis synthesised the results. Among the 439 articles identified, five studies compromising 459 participants were included. Ankle blocks were superior to control in two studies (P = 0.001, P 
ISSN:1757-1146
1757-1146
DOI:10.1186/s13047-022-00581-0