1999
DOI: 10.1097/00003086-199912000-00030
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Analgesia With Femoral Nerve Block for Anterior Cruciate Ligament Reconstruction

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Cited by 37 publications
(29 citation statements)
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“…This postoperative pain is difficult to treat with oral analgesics, resulting in adverse endocrine, metabolic, and inflammatory responses [3]. Single-injection femoral nerve block (FNB) significantly improves postoperative analgesia compared with systemic opioid therapy at least during the first 24 hours after TKR or ACL reconstruction [1,[4][5][6][7][8], although some studies show a limited benefit of single-injection FNB as an analgesic technique during TKR or ACL reconstruction [9,10].…”
Section: Introductionmentioning
confidence: 99%
“…This postoperative pain is difficult to treat with oral analgesics, resulting in adverse endocrine, metabolic, and inflammatory responses [3]. Single-injection femoral nerve block (FNB) significantly improves postoperative analgesia compared with systemic opioid therapy at least during the first 24 hours after TKR or ACL reconstruction [1,[4][5][6][7][8], although some studies show a limited benefit of single-injection FNB as an analgesic technique during TKR or ACL reconstruction [9,10].…”
Section: Introductionmentioning
confidence: 99%
“…Because the femoral nerve is contained within a fascial sheath it is possible to inject a bolus of long-acting local anaesthetic and achieve proximal spread to the origin of the lumbosacral plexus [17]. This action achieves the additional benefit of blockade of the lateral femoral cutaneous nerve and obturator nerve, thereby improving analgesia for knee surgery.Recent studies confirm that femoral nerve block is effective in reducing post -operative pain following anterior cruciate ligament reconstruction [3,4,8,11,15].However, femoral nerve blockade paralyses the quadriceps mechanism, which delays accelerated rehabilitation after arthroscopically-assisted anterior cruciate ligament reconstruction. This also reduces the potential for sameday discharge following day surgery.…”
mentioning
confidence: 99%
“…Outcome measurements included Visual Analogue Scales (VAS), the McGill Pain Questionnaire; the dose of opioids administered or consumed postoperatively, postoperative pain medication selection, patient satisfaction interviews, analgesic duration, and effects on discharge (Alford & Fadale 2003;Bushnell, Sakryd, & Noonan 2010;Choi, McCartney, & van der Vyver 2010;Edkin, McCarty, Spindler, & Flanagan 1999;Edkin et al 1995;Farid, Jeiner, & Fleissner 2010;Frost et al 2000;Iskandar, Benard, Ruel-Raymond, Cochard, & Manaud 2003;Mall & Wright 2010;Mayr, Entholzner, Hube, Hein, & Weig 2007;Mulroy, Larkin, Batra, Hodgson, & Owens 2001). The articles primarily focused on the immediate 24 hour postoperative period as well as post-operative day (POD) one through three.…”
Section: Pain Management After Acl Surgical Repairmentioning
confidence: 99%
“…In the study by Mulroy et al (2001), the research concluded a higher number of analgesic requests in patients who did not receive an FNB. Edkin et al (1999) explored the impact of FNB on LOS, comparing those patients admitted post-operatively and those who were discharged the same day of surgery. They showed that the use of FNB decreased the number of patients admitted to stay overnight after their ACL reconstruction.…”
Section: Pain Management After Acl Surgical Repairmentioning
confidence: 99%