Ultrasound-guided sciatic and femoral nerve block for perioperative pain management in a Thai crossbreed dog undergoing Tibial Plateau Leveling Osteotomy (TPLO): A case report

Authors

Wutti Bunjerdsuwan, Anesthesia Unit, Surgery Division, Kasetsart University Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Kasetsart University, Chatuchak, Bangkok, 10900, ThailandFollow
Sirirat Niyom Assist. Prof. Dr., Department of Companion Animal Clinical Science, Faculty of Veterinary Medicine, Kasetsart University, Chatuchak, Bangkok, 10900, ThailandFollow

Abstract

This case report presents the use of ultrasound-guided sciatic and femoral nerve blocks as an alternative analgesic technique for perioperative pain control in a Thai crossbreed dog undergoing left tibial plateau leveling osteotomy (TPLO). The orthopedic examination revealed a 4/5 left hindlimb lameness score, with positive results on both the tibial compression test (TCT) and cranial drawer test (CDT). Radiographic evaluation showed the absence of a fat pad sign and osteophyte formation around the left stifle joint. A definitive diagnosis of left cranial cruciate ligament rupture (CCLR) was made. The dog underwent CCLR correction via TPLO, with perioperative pain managed through ultrasound-guided sciatic and femoral nerve blocks at the Kasetsart University Veterinary Teaching Hospital (KUVTH), Bangkok, Thailand. The surgery was completed with favorable outcomes, and the dog was discharged 3 days postoperatively.

DOI

10.56808/2985-1130.3798

First Page

1

Last Page

8

Recommended Citation

Bunjerdsuwan, Wutti and Niyom, Sirirat Assist. Prof. Dr. (2025) "Ultrasound-guided sciatic and femoral nerve block for perioperative pain management in a Thai crossbreed dog undergoing Tibial Plateau Leveling Osteotomy (TPLO): A case report," The Thai Journal of Veterinary Medicine: Vol. 55: Iss. 2, Article 6.
DOI: https://doi.org/10.56808/2985-1130.3798
Available at: https://digital.car.chula.ac.th/tjvm/vol55/iss2/6