Pain Control
Limited evidence supports regional pain management for patient comfort peri-operatively.

Rationale
We identified one High quality study45 of a hematoma block and one Low quality study46 of a femoral nerve block, both of which were effective at reducing pain. In the expert opinion of the work group, the risks associated with regional pain management, such as femoral nerve neuritis and the complications associated with epidural anesthesia in lower extremity fractures (missed compartment syndrome), are less than with oral or IV systemic medicines.