Periarticular Injection Versus Popliteal Block

A Randomized Controlled Trial Comparing a Periarticular Injection to a Popliteal Block for Pain Control in Ankle/Hindfoot Osteotomy or Fusion and Ankle Fractures

This study aims to determine the effectiveness and safety of two standard of care perioperative procedures for controlling pain following ankle and hindfoot osteotomy or fusion or ankle fracture repair.

This is a prospective, randomized, controlled research study of two perioperative standards of care for managing post operative pain. The first standard of care procedure is the periarticular injection; the second is the popiteal block.

Inclusion Criteria:

• Ankle or hindfoot osteotomy or ankle fracture repair
• Surgery scheduled at Campbell Surgery Center (1410 Brierbrook Road, Germantown, TN 38138)
• 18-80 years of age
• ASA I-III with medical clearances as needed
• Fluent ub verbal and written English
• Willing and able to comply with study instruction and commit to all follow-up visits for theduration of the study
• Willing and able to provide written consent

Exclusion Criteria:

• Diagnosed with chronic pain syndrome
• History of allergic reactions to lidocaine, marcaine, Experal, bupivicaine, or other injectable anesthetic agents
• Injury associated with workers' compensation
• Surgery to be performed at a hospital
• Diagnosed with peripheral neuropathy
• Hbg A1C is > 7 mg/dl in diabetic patients only
• Long term (chronic) preoperative narcotic usage