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I see quite a few of these in my practice. I used to do a Femoral plus sciatic block.
These days I'm doing an Adductor canal with a popliteal block.
My concern is that 1-2 percent of patients with a tibial plateau fracture may develop a foot drop due to injury of the common peroneal nerve. Thus, I may be asking for more liability by doing a popliteal nerve block. Perhaps, a subgluteal sciatic or high popliteal would be safer for medico-legal purposes.
Any comments?
These days I'm doing an Adductor canal with a popliteal block.
My concern is that 1-2 percent of patients with a tibial plateau fracture may develop a foot drop due to injury of the common peroneal nerve. Thus, I may be asking for more liability by doing a popliteal nerve block. Perhaps, a subgluteal sciatic or high popliteal would be safer for medico-legal purposes.
Any comments?