Abstract
One hundred consecutive patients made an informed preoperative choice for elective forefoot surgery between general anaesthetic (GA) and ankle block (AB). Fourteen patients requested GA, 57 AB and 29 were ambivalent, but chose to proceed with AB and sedation anaesthesia after further explanation. The ambivalent group had a higher level of preoperative concerns ( P < 0.03) and required more intraoperative sedation, but were equally satisfied at review. AB patients had longer postoperative pain relief and fewer required strong analgesia on both the day of operation and the next day ( P < 0.05). One AB patient required unplanned conversion to GA for tourniquet pain. With adequate preoperative counselling and additional sedation anaesthesia, if required, there is a high voluntary acceptance of ankle block and good subjective outcome for forefoot surgery.
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