THE USE OF ANKLE BLOCK FOR ACUTE ANKLE FRACTURE REDUCTION: A REVIEW OF CURRENT LITERATURE.

Abstract

Ankle fractures are common injuries treated in accident and emergency (A&E) departments, often requiring prompt reduction to restore joint alignment. Traditional pain management methods, including intravenous sedation and general anaesthesia, carry risks of systemic complications. The ankle block, a form of regional anaesthesia, is increasingly used for ankle fracture reduction due to its ability to provide localized pain relief while minimizing systemic side effects. This article reviews the techniques, recent trends, advantages, and disadvantages of ankle blocks in A&E settings. Ultrasound guidance has enhanced the precision and success of the procedure, leading to improved outcomes. Despite challenges, such as the need for specialized training and occasional incomplete analgesia, the ankle block is emerging as a preferred opioid-sparing alternative. Continued advancements in regional anaesthesia and training programs are expected to broaden its use in emergency care. Further research may focus on optimizing techniques to ensure consistent results.