Siddiqui Ammar, Sekhri Nitin, Salik Irim, Yu Fang, Xu Jeff L
Department of Anesthesiology, Westchester Medical Center/New York Medical College, Valhalla, USA.
Department of Neurology, Westchester Medical Center/New York Medical College, Valhalla, USA.
Cureus. 2024 Jun 11;16(6):e62142. doi: 10.7759/cureus.62142. eCollection 2024 Jun.
Analgesia following acute traumatic fracture remains a clinical challenge. Pain relief via peripheral nerve stimulation (PNS) is a promising treatment modality due to its opioid-sparing effects and rapid, reversible sensory blockade without motor blockade. We present the case of a patient who suffered a traumatic tibial plateau fracture. A popliteal sciatic PNS device was placed on postoperative day 1 following inadequate pain control. The patient reported marked pain relief, a significant reduction in morphine milligram equivalent (MME) utilization, and improved early functional recovery. The PNS lead was removed at the patient's 2-month follow-up visit without any adverse events.
急性创伤性骨折后的镇痛仍然是一项临床挑战。通过外周神经刺激（PNS）缓解疼痛是一种很有前景的治疗方式，因为它具有节省阿片类药物的作用，且能快速、可逆地进行感觉阻滞而不影响运动功能。我们报告一例胫骨平台创伤性骨折患者的病例。在疼痛控制不佳的情况下，于术后第1天放置了腘部坐骨神经PNS装置。患者报告疼痛明显减轻，吗啡毫克当量（MME）用量显著减少，早期功能恢复得到改善。在患者2个月的随访中移除了PNS导线，未发生任何不良事件。
