Safe Ankle and Foot Surgery

We developed a continuous lateral sciatic nerve infusion technique for postoperative analgesia. Methods: A 10-cm insulated Tuohy needle connected to a nerve stimulator was introduced posteriorly between the biceps femoris and vastus lateralis groove 10 cm cephalad from the tip of the patella. After proper positioning of the insulated needle, a 20-gauge catheter was placed in proximity to the sciatic nerve. Results: Continuous lateral sciatic infusion of 0.2% ropivacaine was associated with a significant reduction of morphine consumption by 29% and 62% during postoperative days one and two, respectively, in patients who underwent open reduction and internal fixation of the ankle. Conclusion: Continuous lateral sciatic infusion of 0.2% ropivacaine represents an alternative for acute postoperative pain control after major ankle and foot surgery.

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Time to reap the rewards

Scientific Journal of the Foot & Ankle ◽

10.30795/scijfootankle.2018.v12.819 ◽

2018 ◽

Vol 12 (2) ◽

pp. 77

Author(s):

Jorge Mitsuo Mizusaki

Keyword(s):

Professional Training ◽

Scientific Development ◽

Foot Surgery ◽

Electronic Information ◽

Partial Form ◽

The Subject ◽

Information Media ◽

Selection Of ◽

Ankle And Foot

In this issue, we are proud to present the results, albeit still in partial form, of the efforts made to obtain the much sought-after qualification and indexation of our journal. The submission of articles written by students of the specialization programs in ankle and foot surgery deserves to be highlighted, as it reflects the efforts of all those involved in training new specialists. The different articles submitted for evaluation by our editorial body demonstrate the diversity of clinical situations that permeate our spectrum of activity, and reflect the need to offer the best opportunities for the technical and scientific development of ankle and foot surgeons in the different places where they can access electronic information media. We have already emphasized that we are available in English, which enables an unparalleled showcasing of our medical activities. Without a doubt, this will bring advantages for our patients, who will benefit from the results of the up-to-date and practical information in our daily activity. We therefore highlight the interest around the subject involving the Achilles tendon and its particular disorders. This demonstrates precision in the selection of subjects that need to be explored, and that are demanded to meet the needs ofour peers. We are making every effort to obtain the best qualification for our journal, because we understand the need for greater representation of our knowledge which, in the context of patient care, leads to better quality of care and better professional training, with technical, scientific and management performance. In these present circumstances, with the efforts of all those involved, we are forging ahead. We hope you enjoy reading the journal.

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