TY - JOUR AU - Oliveira, César Lima AU - Torres Filho, Lucio Carlos de Azevedo AU - Lara, Luiz Carlos Ribeiro AU - Cervone, Gabriel Lopes de Faria AU - Figueiredo, Rafael Nogueira AU - Lancia, Lara Furtado PY - 2020/04/30 Y2 - 2024/03/28 TI - 4-in-1 and 5-in-1 blocks in percutaneous forefoot surgery JF - Journal of the Foot & Ankle JA - J Foot Ankle VL - 14 IS - 1 SE - Original Article DO - 10.30795/jfootankle.2020.v14.1168 UR - https://jfootankle.com/JournalFootAnkle/article/view/1168 SP - 79-83 AB - <p style="margin: 0px; border: medium; text-align: justify; line-height: 200%; text-justify: inter-ideograph;"><strong>Objective</strong>: To analyze the effectiveness of peripheral nerve blocks in the ankle in percutaneous forefoot surgery and their potential&nbsp;complications.&nbsp;<strong>Methods:</strong> Retrospective study with a survey of the medical records of patients who underwent percutaneous orthopedic surgery onthe forefoot between 2009 and 2015, performed by the orthopedic foot&nbsp; and ankle surgery group of our hospital, in which 4-in-1 and 5-in-1 anesthetic nerve blocks were used. We evaluated 239 cases, consisting of 222 female and 17 male subjects with a mean age of 61.2 years, seeking to observe the effectiveness and potential complications of the anesthetic technique.&nbsp;<strong>Results:</strong> Complications were observed in 3.34% of the 239 patients, with seven cases of neuritis and one case of tachycardia. Regarding the anesthetic technique, there were nine cases of block failure (3.76%), with four cases requiring supplementary local anesthetic, one case spinal anesthesia, and four cases general anesthesia.&nbsp;<strong>Conclusion:</strong> Having observed the low rate of complications and the almost complete success of 5-in-1 blocks in percutaneous forefoot surgery, we concluded that it is a safe and effective anesthetic technique.&nbsp;<strong>Level of Evidence IV, Therapeutic Study; Case Series.</strong></p> ER -