周围神经调节与阿片类药物节省策略减轻复杂三踝骨折固定及取出内固定物围手术期疼痛：一例报告
Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report.
作者信息
Mo Bi, Sacks Sandra, Markar Jerry
机构信息
Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine University of California, Los Angeles Los Angeles California USA.
Division of Hematology-Oncology, Department of Internal Medicine, David Geffen School of Medicine University of California, Los Angeles Los Angeles California USA.
出版信息
Clin Case Rep. 2025 Jul 28;13(8):e70713. doi: 10.1002/ccr3.70713. eCollection 2025 Aug.
Abstract
Individualized opioid-free perioperative management, combining dual continuous peripheral nerve catheters targeting the popliteal sciatic and adductor canal nerves, non-opioid pharmacologic agents, and adjunctive neuromodulation, offers robust multimodal analgesia. This approach supports both ORIF and hardware removal in complex trimalleolar fractures while preserving function, reducing opioid-related risks, and promoting faster recovery.
摘要
个性化的无阿片类药物围手术期管理，结合针对腘部坐骨神经和收肌管神经的双连续外周神经导管、非阿片类药物和辅助神经调节，可提供强大的多模式镇痛。这种方法支持复杂三踝骨折的切开复位内固定术和内固定取出术，同时保留功能、降低阿片类药物相关风险并促进更快恢复。
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