title: Popliteal block with transfibular approach in ankle arthrodesis: a case series.
abstract: BACKGROUND
  Ankle arthrodesis is primarily undertaken to control severe pain in the ankle joint. Immediate postoperative pain is usually treated using oral analgesics, intravenous opiates and regional anaesthesia. The outcomes of ankle fusion, including patient satisfaction studies, are well documented in the literature. However, the advantage of popliteal block in the management of early postoperative pain after ankle fusion for osteoarthritis has not been widely reported. This study aims to determine the role of popliteal block using ankle fusion in the management of ankle osteoarthritis.
  
  
  METHODS
  Ankle arthrodeses were performed in 27 patients over a five-year period. Eighteen patients were males (one had bilateral arthrodesis) and eight were females. Their mean age was 56 years and they were all Caucasians. The notes and radiographs of the patients were reviewed in retrospect for the duration of their hospital admission, time to union and complications.
  
  
  CONCLUSIONS
  Popliteal block is a safe and effective technique for postoperative analgesia in ankle arthrodesis. By using this technique, we achieved a significant reduction in the duration of hospital stay for our patients after ankle arthrodesis. The resultant cost saving was GBP717 for each patient.
authors.affiliation: Department of Trauma and Orthopaedics, The James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW, UK. akragbesimi@yahoo.com.
authors.forename: Gabriel A
authors.initials: GA
authors.lastname: Akra
authors.forename: Alan
authors.initials: A
authors.lastname: Middleton
authors.forename: Akinwande O
authors.initials: AO
authors.lastname: Adedapo
authors.forename: Paul
authors.initials: P
authors.lastname: Finn
references.citation: Foot Ankle Int. 1998 Nov;19(11):735-7
references.pmid: 9840200
references.citation: Foot Ankle Int. 1994 Dec;15(12):649-53
references.pmid: 7894636
references.citation: Oper Orthop Traumatol. 2005 Oct;17(4-5):457-80
references.pmid: 16331382
references.citation: Foot Ankle Int. 1996 Jul;17(7):378-82
references.pmid: 8832243
references.citation: Foot Ankle Int. 2006 Jan;27(1):53-5
references.pmid: 16442029
references.citation: J Bone Joint Surg Br. 1999 Jan;81(1):113-6
references.pmid: 10068017
references.citation: J Bone Joint Surg Am. 2006 Mar;88(3):553-8
references.pmid: 16510822
references.citation: Clin Orthop Relat Res. 1983 Mar;(173):184-90
references.pmid: 6825331
references.citation: J Bone Joint Surg Am. 2001 Feb;83(2):219-28
references.pmid: 11216683
references.citation: Clin Biomech (Bristol, Avon). 2004 Aug;19(7):751-9
references.pmid: 15288463
references.citation: Foot Ankle Int. 2007 Dec;28(12):1271-5
references.pmid: 18173991
references.citation: Clin Orthop Relat Res. 1991 Jul;(268):96-101
references.pmid: 2060233
references.citation: Clin Orthop Relat Res. 1994 Jul;(304):195-9
references.pmid: 8020215