Abstract
The ankle block is a technique that can provide both anaesthesia and postoperative analgesia for foot and ankle surgery as well as analgesia for some foot related injuries. Its primary advantage over other lower-limb blocks is that it is associated with minimal motor block. Traditionally the anatomic landmark-guided technique was associated with high success rates. Recent evidence, however suggests, that the ultrasound-guided technique of ankle block improves clinical efficacy, particularly in the hands of less-experienced practitioners (Chin et al., Reg Anesth Pain Med 36:611–8, 2011).
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References
Fredrickson MJ. Ultrasound-guided ankle block. Anaesth Intensive Care. 2009;37(1):143–5.
Delbos A, Philippe M, Clément C, Olivier R, Coppens S. Ultrasound-guided ankle block. History revisited. Best Pract Res Clin Anaesthesiol. 2019;33(1):79–93. https://doi.org/10.1016/j.bpa.2019.05.002. Epub 2019 May 7. PMID: 31272656.
Albaqami MS, Alqarni AA. Efficacy of regional anesthesia using ankle block in ankle and foot surgeries: a systematic review. Eur Rev Med Pharmacol Sci. 2022;26(2):471–84.
Vandepitte C, Lopez AM, Boxstael SV, Jalil H. Ultrasound-guided ankle block. In: Hadzic’s texbook of regional anesthesia and acute pain management. 2nd ed. McGraw-Hill Education; 2017. p. 636–41. ISBN 978-0-07-174122-4.
Tran DQ, Salinas FV, Benzon HT, Neal JM. Lower extremity regional anesthesia: essentials of our current understanding. Reg Anesth Pain Med. 2019;44:143143–80.
Purushothaman L, Allan A, Bedforth N. Ultrasound-guided ankle block. Contin Educ Anaesth Crit Care Pain. 2013;13(5):174–8.
Allan A, Scarfe M. Ankle block: landmark and ultrasound techniques. Anaesthesia Tutorial of the Week 178. www.totw.anaesthesiologists.org. Accessed 10 May 2010.
Lopez AM, Sala-Blanch X, Magaldi M, Poggio D, Asuncion J, Franco CD. Ultrasound-guided ankle block for forefoot surgery: the contribution of the saphenous nerve. Reg Anesth Pain Med. 2012;37:554–7.
Chin KJ, Wong NWY, Macfarlane AJR, Chan WWS. Ultrasound-guided versus anatomic landmark-guided ankle blocks: a 6-year retrospective review. Reg Anesth Pain Med. 2011;36:611–8.
Redborg KE, Antonakakis JG, Beach ML, Chinn CD, Sites BD. Ultrasound improves the success rate of a tibial nerve block at the ankle. Reg Anesth Pain Med. 2009;34:256–60.
Redborg KE, Sites BD, Chinn CD, et al. Ultrasound improves the success rate of a sural nerve block at the ankle. Reg Anesth Pain Med. 2009;34:24–8.
Shah A, et al. Landmark technique vs ultrasound-guided approach for posterior tibial nerve block in cadaver models. Indian J Orthop. 2020;54(1):38–42.
Sadler A, Raju P. Awake ankle surgery under ultrasound-guided ankle block: patient experience. Reg Anesth Pain Med. 2019;44(Suppl 1):A268–9.
Marty P, et al. Perineural versus systemic dexamethasone in front-foot surgery under ankle block: a randomized double-blind study. Reg Anesth Pain Med. 2018;43:732–7.
Further Reading
Bigeleisen PE, et al. Section III, Chapter 23—Ultrasound guided ankle blocks. In: Ultrasound guided regional anesthesia and pain medicine. Baltimore: LWW; 2010. p. 140–4.
Georgiou A, et al. Chapter 8—The lower limb. In: Applied anatomy for anaesthesia and intensive care. Cambridge: Cambridge University Press; 2014. p. 178–83.
Marhofer P. Chapter 14.8—Ankle blocks. In: Ultrasound guidance in regional anaesthesia. 2nd ed. Oxford: Oxford University Press; 2010. p. 163–9.
Wells M. Chapter 9—Ankle block. In: Local and regional anaesthesia in the emergency department made easy. Amsterdam: Elsevier; 2010. p. 165–75.
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Merjavy, P. (2022). Ankle Block. In: Souza, D., Kohan, L.R. (eds) Bedside Pain Management Interventions. Springer, Cham. https://doi.org/10.1007/978-3-031-11188-4_72
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DOI: https://doi.org/10.1007/978-3-031-11188-4_72
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