The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
original papers
Sciatic Nerve Block by the Parasacral Approach is Unnecessary for Postoperative Analgesia after Medullary Nail Surgery for Fracture of the Femoral Trochanter and Femoral Nerve Block
Junichi AizawaHaruhiko Takeda
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2014 Volume 26 Issue 1 Pages 135-138

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Abstract
Femoral nerve block is generally performed via peripheral nerve block for postoperative analgesia after internal fixation for femoral trochanteric fracture.
We describe 20 such cases, for which only femoral nerve block was used in ten, and femoral nerve block and sciatic nerve block by the parasacral approach in the other ten, at random, after internal fixation of trochanteric fractures using short femoral nails.
There were no differences among three patients who received diclofenac suppositories within 12 hours after the operation.
In elderly patients with femoral trochanteric fracture, sciatic nerve block is unnecessary, and femoral nerve block alone is sufficient.
However, in younger patients, discretion is required with regard to the form of analgesia used.
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