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Usefulness of Ultrasound-Guided Lower Extremity Nerve Blockade in Surgery for Patellar Fracture

PURPOSE: To evaluate the usefulness of ultrasound-guided nerve blockade in patellar fracture surgery. MATERIALS AND METHODS: Twenty-three patients who underwent metal fixation under ultrasound-guided lower extremity blockade after diagnosis of patellar fracture from July 2011 to June 2012 were enrol...

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Autores principales: Kim, Young-Mo, Kang, Chan, Joo, Yong-Bum, Yeon, Kyu-Ung, Kang, Dong-Hun, Park, Il-Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Knee Society 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458481/
https://www.ncbi.nlm.nih.gov/pubmed/26060610
http://dx.doi.org/10.5792/ksrr.2015.27.2.108
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author Kim, Young-Mo
Kang, Chan
Joo, Yong-Bum
Yeon, Kyu-Ung
Kang, Dong-Hun
Park, Il-Young
author_facet Kim, Young-Mo
Kang, Chan
Joo, Yong-Bum
Yeon, Kyu-Ung
Kang, Dong-Hun
Park, Il-Young
author_sort Kim, Young-Mo
collection PubMed
description PURPOSE: To evaluate the usefulness of ultrasound-guided nerve blockade in patellar fracture surgery. MATERIALS AND METHODS: Twenty-three patients who underwent metal fixation under ultrasound-guided lower extremity blockade after diagnosis of patellar fracture from July 2011 to June 2012 were enrolled in this study. Under ultrasound guidance, femoral nerve, lateral femoral cutaneous nerve, obturator nerve, and sciatic nerve blockades were performed. For evaluation of anesthesia, interference with overall surgery, such as intraoperative knee pain and tourniquet pain, was checked. Individual anesthetic complications, satisfaction with nerve blocks, and choice of future anesthesia method were investigated. RESULTS: Nineteen patients underwent surgery without any pain and 4 patients with mild pain. Satisfaction was excellent in 17 patients, good in 5, and unsatisfactory in 1. No complications such as infection or nerve injury occurred. In terms of selection of future anesthesia, 22 patients chose a nerve blockade of the lower extremity under ultrasound guidance, and one chose general anesthesia. CONCLUSIONS: Overall, ultrasound-guided nerve block of the lower extremity for patellar fracture surgery showed satisfactory results. Therefore, it could be a useful method to prevent complications associated with general or spinal anesthesia.
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spelling pubmed-44584812015-06-09 Usefulness of Ultrasound-Guided Lower Extremity Nerve Blockade in Surgery for Patellar Fracture Kim, Young-Mo Kang, Chan Joo, Yong-Bum Yeon, Kyu-Ung Kang, Dong-Hun Park, Il-Young Knee Surg Relat Res Original Article PURPOSE: To evaluate the usefulness of ultrasound-guided nerve blockade in patellar fracture surgery. MATERIALS AND METHODS: Twenty-three patients who underwent metal fixation under ultrasound-guided lower extremity blockade after diagnosis of patellar fracture from July 2011 to June 2012 were enrolled in this study. Under ultrasound guidance, femoral nerve, lateral femoral cutaneous nerve, obturator nerve, and sciatic nerve blockades were performed. For evaluation of anesthesia, interference with overall surgery, such as intraoperative knee pain and tourniquet pain, was checked. Individual anesthetic complications, satisfaction with nerve blocks, and choice of future anesthesia method were investigated. RESULTS: Nineteen patients underwent surgery without any pain and 4 patients with mild pain. Satisfaction was excellent in 17 patients, good in 5, and unsatisfactory in 1. No complications such as infection or nerve injury occurred. In terms of selection of future anesthesia, 22 patients chose a nerve blockade of the lower extremity under ultrasound guidance, and one chose general anesthesia. CONCLUSIONS: Overall, ultrasound-guided nerve block of the lower extremity for patellar fracture surgery showed satisfactory results. Therefore, it could be a useful method to prevent complications associated with general or spinal anesthesia. The Korean Knee Society 2015-06 2015-06-01 /pmc/articles/PMC4458481/ /pubmed/26060610 http://dx.doi.org/10.5792/ksrr.2015.27.2.108 Text en Copyright © 2015 KOREAN KNEE SOCIETY http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Young-Mo
Kang, Chan
Joo, Yong-Bum
Yeon, Kyu-Ung
Kang, Dong-Hun
Park, Il-Young
Usefulness of Ultrasound-Guided Lower Extremity Nerve Blockade in Surgery for Patellar Fracture
title Usefulness of Ultrasound-Guided Lower Extremity Nerve Blockade in Surgery for Patellar Fracture
title_full Usefulness of Ultrasound-Guided Lower Extremity Nerve Blockade in Surgery for Patellar Fracture
title_fullStr Usefulness of Ultrasound-Guided Lower Extremity Nerve Blockade in Surgery for Patellar Fracture
title_full_unstemmed Usefulness of Ultrasound-Guided Lower Extremity Nerve Blockade in Surgery for Patellar Fracture
title_short Usefulness of Ultrasound-Guided Lower Extremity Nerve Blockade in Surgery for Patellar Fracture
title_sort usefulness of ultrasound-guided lower extremity nerve blockade in surgery for patellar fracture
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458481/
https://www.ncbi.nlm.nih.gov/pubmed/26060610
http://dx.doi.org/10.5792/ksrr.2015.27.2.108
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