Randomised Comparison Between Narcotic Pre-Multi Seizure in Standard of Care Anaesthisia of Hallux Valgus Patients Undergoing a Percutaneous Osteotomy

Description

In this presentation led by Marie Gdalevitch, the topic revolves around pain management strategies following hallux valgus surgery, particularly focusing on alternatives to narcotics. Gdalevitch begins by sharing insights into the variability of anesthetic approaches and the increasing trend toward utilizing multimodal analgesia in light of the ongoing narcotic epidemic. Notably, startling statistics reveal that a significant percentage of patients prescribed narcotics develop long-term dependencies. The study investigates the use of tramadol, a less addictive alternative, against traditional narcotics such as dilaudid, emphasizing a narcotic-free approach for postoperative pain relief through enhanced regional anesthesia techniques.



The study involved 160 patients undergoing percutaneous bunion correction, divided into narcotic-free groups treated with multimodal analgesia including tramadol and pregabalin, versus a standard care group receiving traditional narcotic pain relief. Key findings indicated that the narcotic-free group demonstrated lower narcotic consumption, with 50% of participants requiring no stronger medications, while the control group exhibited higher dependence on narcotics.



Overall, both groups reported satisfactory pain control, reflected in daily activity levels and sleep quality. The results underline the effectiveness of utilizing ultrasound-guided ankle blocks and tramadol, suggesting a significant shift in pain management paradigms for surgical interventions in bunion corrections, thereby increasing opportunities for reduced narcotic reliance.

DOI: 10.1302/3114-222008

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