The choice of regional anesthesia for tibial plateau surgery remains challenging due to the complex innervation of the knee joint and the variability in fracture patterns. While traditional regional anaesthesia techniques are commonly used, emerging evidence supports the role of motor-sparing genicular nerve blocks in acute knee trauma. We present a case of a 61-year-old patient with a left-sided tibial plateau fracture, who underwent surgical repair under general anesthesia, with ultrasound-guided genicular nerve blocks administered pre-operatively. The patient received general anaesthesia for the surgery. The patient achieved effective intraoperative and postoperative analgesia, reducing the need for systemic opioids. This case highlights the safety and efficacy of genicular nerve blocks as an adjunct for perioperative pain management in tibial plateau fractures. Given its demonstrated benefits in total knee arthroplasty and osteoarthritis management [1][2], further studies are warranted to explore its role in acute orthopedic trauma.
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