title: Sciatic nerve block causing heel ulcer after total knee replacement in 36 patients.
abstract: Femoral and sciatic nerve blocks are often used for postoperative analgesia following total knee replacement surgery. In this report, we focus on cases of heel ulcers which occurred following the implementation of peripheral nerve block in concert with knee replacement surgery. In some instances, heel ulcers have resulted in delayed rehabilitation and prolonged hospital stays in this group of patients, which makes this phenomenon a potential burden on the healthcare system. Pressure points in the foot should be protected after the implementation of nerve blocks to prevent pressure sores. An awareness of this unusual complication related to knee replacement surgery is necessary to prevent its occurrence and avoid delays in patient rehabilitation and recovery.
authors.affiliation: Nuffield Orthopaedic Centre, Oxford, UK. mtodkar@hotmail.com
authors.forename: Manoj
authors.initials: M
authors.lastname: Todkar
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D016523:Foot Ulcer / Q000453:epidemiology / Q000209:etiology*; D006365:Heel / Q000473:pathology; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*; D018570:Risk Assessment; D012494:Sampling Studies; D012584:Sciatic Nerve; D012720:Severity of Illness Index; D014945:Wound Healing / Q000502:physiology