Popliteal Nerve Block for Postoperative Pain Control in Ankle and Hindfoot Reconstruction

Study Overview
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Brief Summary
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The purpose of this study is to evaluate outcomes of popliteal nerve blocks for postoperative pain control in patients undergoing ankle and hindfoot reconstruction surgeries. The following outcomes will be analyzed: length of hospital stay, level of pain control, pain medication use, complications, and patient satisfaction.

Official Title
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Popliteal Nerve Block for Postoperative Pain Control in Patients Undergoing Ankle and Hindfoot Reconstruction About the Talus

Conditions
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Pain, Postoperative

Intervention / Treatment
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* Other: Survey of outcomes following popliteal nerve block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patients ≥ 18 years old Patients undergoing ankle, subtalar, pantalar, triple, or tibiotalocalcaneal arthrodesis (CPT codes 27870, 28715, 28725, or 28740) Patients undergoing total ankle arthroplasty (CPT code 27702) Patients with a preoperative surgical plan to receive a popliteal nerve block during the postoperative period Patients whom can be reasonably expected to understand and comply with patient-reported postoperative data collection and surveys Exclusion Criteria: Patients undergoing an ankle or hindfoot reconstruction procedure whom are medically ineligible to receive a safe popliteal nerve block (i.e. patients with neuropathy) Patients with documented substance abuse (i.e. history of narcotic abuse could confound pain outcomes)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Postoperative Popliteal nerve block<br>All patients in the cohort are receiving a postoperative popliteal nerve block as part of their surgical plan. Outcomes including length of stay, Visual Analog Scale Scores, narcotic intake, and patient satisfaction will be collected as the intervention. | Other: Survey of outcomes following popliteal nerve block<br>* Patients will be instructed to complete journals of pain and narcotic use until postoperative day 10. On first follow-up visit, patients will complete a patient satisfaction survey. VAS Pain scores and pain medication use will be collected up to 12 weeks postoperatively.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain rating | Measured by VAS | Postoperative- through 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Narcotic intake | Measured by data from hospital medical record and patient questionnaire | Postoperative- through 12 weeks | 
| Hospital length of stay | Measured by data from hospital medical record | Postoperative- through day of hospital discharge (discharge same day of surgery to approximately 3 days postop) | 
| Patient satisfaction | Measured by patient questionnaire | Postoperative- through first surgical follow-up (up to 3 weeks) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nerve block, Ankle, Talus, Pain, Postoperative