Hallux valgus surgery is known as a painful surgery. Qualitative pain management is the key to successful early recovery and rehabilitation.~Sciatic popliteal nerve block is widely used despite the risk of falling due to prolonged motor blockade.~Plantar block combined with distal peroneal block may be a better analgesic option in order to provide fast track rehabilitation.~This study aims to determine the quality of deambulation following hallux valgus surgery.~Block quality, post operative pain, patient satisfaction and length of hospital stay will be compared in this study.~Patients scheduled for ambulatory (hallux valgus) surgery under regional anaesthesia alone (without general anesthesia) will be recruited.~Consenting patients will be randomized the day of surgery to one of those two groups :~Short lasting sciatic nerve block (mepivacaine 1% 200mg) and long lasting plantar block (ropivacaine 0,5% 25mg + 2mg dexamethasone) with distal deep peroneal block (ropivacaine 0,5% 2ml).~Long lasting sciatic nerve block (ropivacaine 0,5% 100mg + 2mg dexamethasone)~All patients will benefit from post operative analgesia including paracetamol, nonsteroidal antiinflammatory drugs intravenously.~During PACU stay, pain will be assessed using the VAS (visual analogue scale) score, and analgesic IV consumption.~Temporospatial gait analysis will be assessed with a GAITRITE system before the patient leave the hospital (6 hours after ALR).~Deambulation and walking ability will be evaluated at home postoperatively to day 3 using an acetimetry bracelet.~Pain, postoperative analgesic requirement, sleep quality and overall patient satisfaction (EVAN-LR) will also be assessed during the first 3 postoperative days.
Hallux valgus surgery is known as a painful surgery. Qualitative pain management is the key to successful early recovery and rehabilitation.~Sciatic popliteal nerve block is widely used despite the risk of falling due to prolonged motor blockade.~Plantar block combined with distal peroneal block may be a better analgesic option in order to provide fast track rehabilitation.~This study aims to determine the quality of deambulation following hallux valgus surgery.~Block quality, post operative pain, patient satisfaction and length of hospital stay will be compared in this study.~Patients scheduled for ambulatory (hallux valgus) surgery under regional anaesthesia alone (without general anesthesia) will be recruited.~Consenting patients will be randomized the day of surgery to one of those two groups :~Short lasting sciatic nerve block (mepivacaine 1% 200mg) and long lasting plantar block (ropivacaine 0,5% 25mg + 2mg dexamethasone) with distal deep peroneal block (ropivacaine 0,5% 2ml).~Long lasting sciatic nerve block (ropivacaine 0,5% 100mg + 2mg dexamethasone)~All patients will benefit from post operative analgesia including paracetamol, nonsteroidal antiinflammatory drugs intravenously.~During PACU stay, pain will be assessed using the VAS (visual analogue scale) score, and analgesic IV consumption.~Temporospatial gait analysis will be assessed with a GAITRITE system before the patient leave the hospital.~Deambulation and walking ability will be evaluated at home postoperatively to day 3 using an acetimetry bracelet.~Pain, postoperative analgesic requirement, sleep quality and overall patient satisfaction (EVAN-LR) will also be assessed during the first 3 postoperative days.