Plantar Compartment Block in Hallux Valgus Ambulatory Surgery

Analgesia Quality and Quality of Deambulation of the Plantar Compartment Block After Hallux Valgus Ambulatory Surgery.

Hallux valgus surgery is known as a painful surgery. Qualitative pain management is the key to successful early recovery and rehabilitation.

Popliteal sciatic nerve block is widely used despite the risk of falling due to prolonged motor blockade.

Plantar block combined with distal peroneal block may be a better analgesic option in order to provide fast track rehabilitation.

The purpose of this study is to describe the analgesic effect of the plantar compartment block following hallux valgus surgery.

Inclusion Criteria:

• Age between 18 and 75 years old
• patient covered by social health insurance
• have signed written informed consent
• scheduled for hallux valgus ambulatory surgery

Exclusion Criteria:

• protected patients or patients incapable of giving written informed consent
• pregnant or breastfeeding woman
• vulnerable adult
• inability to participate in pain scoring scales
• severe coagulopathy
• allergy or contraindications to study drugs
• preopérative gait disorders
• chronic kidney disease with glomerular filtration rate (GFR) ≤ 50 ml/min (estimated by the Cockroft and Gault formula)
• severe chronic liver disease
• chronic pain (treated by non steroidal anti inflammatory drugs, opioids, neuroleptic drugs, antidepressant or anticonvulsants)
• peripheral neuropathy
• intervention under general anesthesia