Ultrasound guided psoas compartment block and sciatic nerve block for revision arthroplasty of the knee performed two times in a patient with ankylosing spondylitis

Authors

  • Hasan Koçoğlu Prof., MD, Department of Anesthesiology and Reanimation, Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey
  • Ferda Yılmaz İnal Asist. Prof., MD, Department of Anesthesiology and Reanimation, Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey
  • Senem Koruk Assoc. Prof., MD, Department of Anesthesiology and Reanimation, Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey
  • Korhan Özkan Prof., MD, Department of Orthopedics and Traumatology, Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey
  • Mesure Gül Nihan Özden Specialist, MD, Anesthesiology and Reanimation Clinic, Istanbul Medeniyet University Göztepe Education and Research Hospital, Istanbul, Turkey
  • Fuat Akpınar Prof., MD, Department of Orthopedics and Traumatology, Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey

DOI:

https://doi.org/10.3329/bjms.v19i4.46641

Keywords:

Ultrasound guided psoas compartment block, ultrasound guided sciatic nerve block, knee arthroplasty, ankylosing spondylitis

Abstract

Anesthetic management including endotracheal intubation and neuroaxial blocks is challenging in patients with ankylosing spondylitis because of the stifness of vertebral joints. Peripheral blocks in these patients may be helpful although it is not common. A 56 year-old male patient with ankylosing spondylitis having the history of total knee arthroplasty and difficult airway management was operated for the contracted knee joint prosthesis. Anteromedialisation of tuberositas tibia was performed with combination of ultrasound guided psoas compartment block (PCB) and sciatic nevre block (SNB), and repeated forty days later because of the displacement of the osteotomy site. We conclude that PCB together with SNB may be performed for knee surgery in patients with severe ankylosing spondylitis.

Bangladesh Journal of Medical Science Vol.19(4) 2020 p.772-774

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Published

2020-04-12

How to Cite

Koçoğlu, H., İnal, F. Y., Koruk, S., Özkan, K., Özden, M. G. N., & Akpınar, F. (2020). Ultrasound guided psoas compartment block and sciatic nerve block for revision arthroplasty of the knee performed two times in a patient with ankylosing spondylitis. Bangladesh Journal of Medical Science, 19(4), 772–774. https://doi.org/10.3329/bjms.v19i4.46641

Issue

Section

Case Reports