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The prevalence of anterior knee pain following intramedullary tibial nail insertion is high. Continuous peripheral nerve blockade is an alternative method of pain control to opiods. This case illustrates the use of femoral nerve and sciatic nerve peripheral catheters with an elastomeric infusion pump for major intramedullary nailing surgery.

local and regional anesthesia

A new, lateral, continuous, combined, femoral&amp;ndash;sciatic nerve approach via a single skin puncture for postoperative analgesia in intramedullary tibial nail insertion