Anesthesiologist Questions Anesthesiologist

What kind of anesthesia do they use for ankle surgery?

I broke my ankle bone and will have surgery. What kind of anesthesia do they use for ankle surgery?

26 Answers

That is for you and the anesthesiologist to decide. Your overall health will play a role in the options that are available.
Normally general or popilteal block.
NORMALLY GENERAL ANESTHESIA. ALL DEPENDS ON THE AMOUNT OF TIME REQUIRED TO FIX YOUR ANKLE AND THE SEVERITY OF THE CASE.
Usually surgery to correct an ankle fracture will require general anesthesia
IV sedation with Mac (monitored anesthesia care), popliteal block, or epidural block.
Regional anesthesia using a peripheral nerve block is the procedure of choice. Spinal anesthesia is an alternative. You will be sedated and not aware of the surgical procedure being performed. Ankle fracture will require open reduction with internal fixation usually in the form of plates and screws.

It depends on the length and complexity of the procedure, medical health of the patient, location of the surgery, and the availability and skill of the anesthesiologist. That being said, most cases that are done in hospital would be a general anesthetic. However, all ankle procedures can be done under local anesthetic with or without IV sedation or a spinal anesthetic.

Jan David Tepper, DPM, FACFAS
The type/scope of ankle surgery will determine the type of anesthesia… it could be IV sedation or regional nerve block or general anesthesia.
Depends on the surgeon and patient preference. Many of us use a MAC with a local. Some prefer a general anesthetic.

Dr. Kathleen Neuhoff 


For ankle fracture surgery you will most likely need general anesthesia and also get some local anesthetic around the ankle. They can also perform a regional block to numb up your entire leg or a spinal anesthetic. Those decisions are up to the anesthesiologist and your surgeon.
General Anesthesia
Hi,

Please make an appointment to discuss surgical procedures in detail.

Saima Ismaili, DPM
These surgeries will typically require general anesthesia and they can offer you a nerve block in the thigh that last about 24 hours that does reduce how much pain medication you require.
General anesthesia is the most common.
Anesthesia can be generally or a block using local anesthesia. Lastly, a spinal can be administered by your anesthesiologist. I prefer a block with moderate intravenous sedation.
Typically for surgical repair of ankle fracture, general anesthesia is required. The surgeon or anesthesiologist may also preform a peripheral or local nerve block to anesthetize the operative site. After the surgery some surgeons will discharge the patient home with an ON-Q pump to send continuous anesthetic to the surgical site for several days of post operative pain control.
General Anesthesia or local Anesthesia with sedation
Sorry to hear that.If this is a case where fixation will be required-most likely you would require general anesthesia.Local with a twilight anesthsia could be used if no pins and screws were required but most likely you would receive the general anesthesia Good luck!
Monitored care (sedation) or general.
Depending on the extent of the injury and complexity and time it will take for the treatment, anesthesia is typically either "Local Standby," which means the area is numbed by injection of local anesthesia and you are given IV Versed (or something similar), which helps you relax, doze off, & not remember much, or "General Anesthesia," where you are completely put to sleep and a breathing tube is inserted and hooked up to a respirator, which breathes for you. Best to ask your surgeon.
Good luck!!!
General anesthesia
Regional or general
Typically, general anesthesia would be used for ankle surgery. Sometimes an anesthesiologist can perform a nerve block such as an epidural or popliteal block.
Most ankle surgery is done in a Hospital or Surgery Center under general anesthesia with local anesthesia injected into the surgical area after the patient has undergone general anesthesia. Depending on the procedure the surgeon and/or anesthesiologist could choose to use MAC sedation/IV sedation or some people call a twilight sleep for the surgery, the patient is still asleep but their organs are all functioning normally, a MAC sedation is generally not as deep of anesthesia as general anesthesia. Longer procedures require general anesthesia, MAC sedation is for procedures less than 90 minutes. I hope that helps.
They will do general anesthesia for your surgery. You can also request a regional nerve block prior to surgery, which can keep you out of pain longer after surgery. Discuss this with your surgeon and with the anesthesiologist prior to surgery.
Anesthesia will vary based on surgeon preference and extent of work that needs to be done. I recommend you discuss this with your surgeon