Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

This article presents the incidence of heel pressure ulcers after an elective hip or a knee replacement. The majority of patients in the authors' institute receive either a neuraxial block (epidural and/or spinal) or peripheral nerve blocks (femoral and sciatic), depending on the anaesthetist's and surgeon's preference, and the patient's physical status. The past few years have seen increasing use of peripheral nerve blocks for knee replacement surgery. Patients with either the central or peripheral nerve blockade are at an increased risk of developing heel pressure ulcers. This article describes the experience at a tertiary referral centre and, in particular, highlights the risk of developing heel ulcers in patients receiving peripheral nerve blocks. Medical and nursing staff looking after these patients should be made aware of this complication and appropriate measures should be taken to prevent this avoidable complication.

Original publication




Journal article


Br j nurs

Publication Date





S20 - S25


Aged, Aged, 80 and over, Analgesia, Epidural, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, England, Female, Heel, Hospitals, Special, Humans, Incidence, Male, Middle Aged, Nerve Block, Nurse Clinicians, Nursing Assessment, Orthopedics, Pain, Postoperative, Perioperative Care, Pressure Ulcer, Prevalence, Risk Factors, Risk Management, Severity of Illness Index, Wound Healing