<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2695-463X</journal-id>
<journal-title><![CDATA[Revista Española de Podología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Esp Podol.]]></abbrev-journal-title>
<issn>2695-463X</issn>
<publisher>
<publisher-name><![CDATA[Inspira Network Group, S.L]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2695-463X2025000100002</article-id>
<article-id pub-id-type="doi">10.20986/revesppod.2025.1709/2024</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estudio comparativo de tres técnicas para la anestesia troncular: H de Frost y sus modificaciones]]></article-title>
<article-title xml:lang="en"><![CDATA[Comparative study of three techniques for the ring block of the hallux: Frost´s H and modifications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz Rivas]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Nova]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Extremadura Departamento de Podología ]]></institution>
<addr-line><![CDATA[Plasencia, Cáceres ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>36</volume>
<numero>1</numero>
<fpage>3</fpage>
<lpage>8</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2695-463X2025000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2695-463X2025000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2695-463X2025000100002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  En Podología, una de las técnicas anestésicas más empleada a nivel digital es la H de Frost. Sin embargo, hay profesionales que afirman que la lateralización de la aguja por debajo del tendón extensor podría provocar daños en el mismo. Por ello, el objetivo de este estudio fue comparar la técnica tradicional con 2 de sus variantes que no incluyen la lateralización (técnica de barrido y técnica de 4 puntos).  Pacientes y métodos:  La muestra se compuso de 18 participantes, comprendidos en un rango de edad entre 20 y 27 años. Se aplicó al azar la técnica anestésica, anotando el dolor experimentado durante y 10 min tras la punción, así como observando los posibles efectos adversos 48 h después del procedimiento.  Resultados:  Tras realizar el estudio, los resultados obtenidos fueron que el dolor durante la punción fue de 4.2 + 2.2 en la técnica en H de Frost, de 3.8 + 1.4 en la de 4 puntos, y de 4.1 + 0.8 en la de barrido, sin existir diferencias significativas entre ellas (p = 0.912). Asimismo, la efectividad resultó similar en las 3 técnicas (p = 0.597). La complicación más común fue el hematoma posterior, sin diferencias significativas entre grupos (p = 0.574).  Discusión:  Con los resultados obtenidos, se determina que la lateralización de la técnica en H de Frost no resulta perjudicial para el tendón del extensor del hallux, así como que las 3 técnicas anestésicas presentan similitud en cuanto a dolor, tiempo de latencia y eficacia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  In Podiatry, one of the most used anesthetic technique used digitally is Frost´s H technique. However, there are professionals who claim that the lateralization of the needle under the extensor tendon could damage it. Therefore, the aim of this study was to compare the traditional technique with 2 of its variants that do not include lateralization (sweeping technique and 4-point technique).  Patients and methods:  The sample consisted of 18 participants, ranging in age from 20 to 27 years. The anesthetic technique was applied randomly, noting the pain experienced during and 10 minutes after the puncture, as well as observing the possible adverse effects 48 hours after the procedure.  Results: After conducting the study, the results obtained were that pain during puncture was 4.2 + 2.2 in the Frost´s H technique, 3.8 + 1.4 in the 4-point technique, and 4.1 + 0.8 in the sweep technique, with no significant differences between them (p = 0.912). Likewise, the effectiveness was similar in the 3 techniques (p = 0.597). The most common complication was posterior hematoma, with no significant differences between groups (p = 0.574).  Discussion:  With the results obtained, it is determined that the lateralization of the Frost´s H technique is not harmful to the hallux extensor tendon, as well as that the 3 anesthetic techniques are similar in terms of pain, latency time and efficacy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Anestesia troncular]]></kwd>
<kwd lng="es"><![CDATA[anestesia local]]></kwd>
<kwd lng="es"><![CDATA[técnica de Frost]]></kwd>
<kwd lng="es"><![CDATA[mepivacaína]]></kwd>
<kwd lng="es"><![CDATA[cirugía ungueal]]></kwd>
<kwd lng="es"><![CDATA[pie]]></kwd>
<kwd lng="en"><![CDATA[Digital ring anesthesia]]></kwd>
<kwd lng="en"><![CDATA[local anesthesia]]></kwd>
<kwd lng="en"><![CDATA[Frost technique]]></kwd>
<kwd lng="en"><![CDATA[mepivacaine]]></kwd>
<kwd lng="en"><![CDATA[nail surgery]]></kwd>
<kwd lng="en"><![CDATA[foot]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Nova]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Podología. Atlas de Cirugía Ungueal]]></source>
<year>2006</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Ed. Médica Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez Hernández]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Giralt de Veciana]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparación de 2 técnicas de bloqueo anestésico en el tratamiento quirúrgico de onicocriptosis del primer dedo del pie]]></article-title>
<source><![CDATA[Actas Dermosifiliogr]]></source>
<year>2022</year>
<volume>113</volume>
<page-range>370-5</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acosta-Martínez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Guerrero-Domínguez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[López-Herrera-Rodríguez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Carrillo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rol del anestesiólogo]]></article-title>
<source><![CDATA[Rev Colomb Anestesiol]]></source>
<year>2016</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>121-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Nova]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Córdoba Fernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Juárez Jiménez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Rayo Rosado]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Monitorización, sedación y técnica anestésica para la cirugía ungueal]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Martínez Nova]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Atlas de Cirugía Ungueal]]></source>
<year>2014</year>
<edition>2ª</edition>
<page-range>59-66</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gordedo Silva]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio observacional de la eficacia del bloqueo anestésico en el primer dedo del pie utilizando la Técnica V Invertida: Un procedimiento innovador]]></article-title>
<source><![CDATA[Rev Iberoam Podol]]></source>
<year>2024</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Trepal]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Jules]]></surname>
<given-names><![CDATA[KT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anestésicos locales en cirugía podológica]]></article-title>
<source><![CDATA[Rev Int Cie Podol]]></source>
<year>2007</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>49-74</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arribas Blanco]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Pata]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Esteve Arrola]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Beltrán Martín]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anestesia local y locorregional en cirugía menor]]></article-title>
<source><![CDATA[SEMERGEN]]></source>
<year>2001</year>
<volume>27</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>471-81</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vicente-Herrero]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Delgado-Bueno]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bandrés-Moyá]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez-Iñiguez- de-la-Torre]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Capdevilla-García]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valoración del dolor. Revisión comparativa de escalas y cuestionarios]]></article-title>
<source><![CDATA[Rev Soc Esp Dol]]></source>
<year>2018</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>228-36</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carneiro de Araújo Palmeira]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Adel Ashmawi]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[de Paula Posso]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sexo y percepción del dolor y analgesia]]></article-title>
<source><![CDATA[Rev Bras Anestesiol]]></source>
<year>2011</year>
<volume>61</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>449-58</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutiérrez Lombana]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez Vidal]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pain and gender differences: A clinical approach]]></article-title>
<source><![CDATA[Colomb J Anesthesiol]]></source>
<year>2012</year>
<volume>40</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>207-12</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oliva-Martín]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Manuel Jiménez-Cano]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Nova]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio comparativo entre dos técnicas de anestesia local troncular del primer dedo]]></article-title>
<source><![CDATA[Rev Esp Podol]]></source>
<year>2022</year>
<volume>33</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>14-25</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Noël]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anesthesia for ingrowing toenail surgery]]></article-title>
<source><![CDATA[Dermatol Surg]]></source>
<year>2010</year>
<volume>36</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1356-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eche Herrera]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Franco Quino]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Chumpitaz Cerrate]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Castro Rodríguez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influencia de la temperatura de la lidocaína 2% con epinefrina 1 80,000 sobre el dolor por inyección e inicio de acción en el bloqueo dentario inferior]]></article-title>
<source><![CDATA[Rev ADM]]></source>
<year>2015</year>
<volume>72</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>236-42</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soler]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Faus]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Burguera]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Mula]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Anestesiología 2]]></source>
<year>2005</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García Peñín]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Guisado Moya]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Montalvo Moreno]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Riesgos y complicaciones de anestesia local en la consulta dental: Estado actual]]></article-title>
<source><![CDATA[RCOE]]></source>
<year>2003</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>41-63</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
