Zetlaoui P J
Département d'Anesthésie-Réanimation, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Cah Anesthesiol. 1993;41(6):661-5.
Among the five branches of principal nerves trunks supplying the ankle and foot, only the tibial nerve is sometimes difficult to block at the ankle, at the border of the medial malleolus. Using new landmarks at the level of the sustentaculum tali overcomes this problem. Blocking these five nerves make possible all surgical procedures on the foot and provide excellent postoperative analgesia. Only tourniquet is a limit for these blocks.
在供应踝关节和足部的五条主要神经干分支中，只有胫神经有时在踝关节内侧踝缘处难以阻滞。利用距骨支撑体水平的新标志可克服这一问题。阻滞这五条神经能使足部的所有外科手术成为可能，并提供出色的术后镇痛效果。唯一的限制因素是使用止血带进行这些阻滞。
