Editorial Commentary: Postoperative Pain Management After Anterior Cruciate Ligament Reconstruction Can Minimize Opioid Use and Allow Early Rehabilitation

Hurley, Eoghan T.; Danilkowicz, Richard; Toth, Alison P.

doi:10.1016/j.arthro.2023.01.018

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…Arthroscopic knee surgery has been reported to cause moderate to severe pain [ 2 ], the presence of preoperative opioid use in such patients is a major risk factor for long-term opioid use after surgery. The opioid crisis has made research on optimizing analgesia in orthopedic surgery more important [ 3 ]. Regional block, as one of the main methods to reduce opioid abuse and accelerate the recovery of patients, has been paid more and more attention by clinicians [ 4 – 6 ].The ACB, as a motor nerve-sparing peripheral nerve block technique in knee joint surgery, mainly provides analgesia in the knee joint area by blocking the saphenous nerve (SN), and also has the benefits of protecting the quadriceps strength and shortening the length of hospital stay [ 7 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Application of ultrasound-guided single femoral triangle and adductor canal block in arthroscopic knee surgery: a prospective, double-blind, randomized clinical study

Chen,

Tan,

et al. 2024

BMC Anesthesiol

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Purpose To compare the difference in analgesic effect between femoral triangle block (FTB) and adductor canal block (ACB) during arthroscopic knee surgery. Methods Patients who underwent arthroscopic knee surgery were randomized preoperatively to FTB group or ACB group. For each group, 20 mL of 0.1% ropivacaine was injected. Primary outcomes: The numeric rating score (NRS) at 12 h after surgery at rest and during movement. Secondary outcome: (1) The NRS at post anesthesia care unit (PACU) and 2, 24 h after surgery at rest and during movement; (2) The quadriceps muscle strength at PACU and 2, 12, 24 h after surgery; (3) Consumption of Rescue analgesia; (4) Incidence of adverse reactions. Results The NRS at 12 h after surgery at rest and during movement of ACB group were higher than FTB group. Among secondary outcomes, the NRS at PACU at rest and during movement, 2 h after surgery during movement of FTB group lower than ACB group; the quadriceps muscle strength at 2 h after surgery of FTB group stronger than ACB group. After multiple linear regression model analysis, the data showed additional statistically significant reduction NRS at 24 h after surgery at rest (0.757, p = 0.037) in FTB group. Other outcomes were similar between two groups. Conclusions The FTB appears to provide superior pain control after knee arthroscopy than ACB, the FTB is superior to the ACB in quadriceps muscle strength at 2 h after surgery. Trial registration The trial was registered in the Chinese Clinical Trial Registry (ChiCTR2300068765). Registration date: 28/02/2023.

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Section: Introductionmentioning

confidence: 99%

Application of ultrasound-guided single femoral triangle and adductor canal block in arthroscopic knee surgery: a prospective, double-blind, randomized clinical study

Chen,

Tan,

et al. 2024

BMC Anesthesiol

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Periarticular cocktail injection is more useful than nerve blocks for pain management after anterior cruciate ligament reconstruction

Kanayama,

Nakase,

Yoshimizu

et al. 2024

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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ACL injury management: a comprehensive review of novel biotherapeutics

Yu,

Hu,

et al. 2024

Front. Bioeng. Biotechnol.

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The anterior cruciate ligament (ACL) is integral to the stability of the knee joint, serving to limit anterior tibial translation and regulate rotational movements. ACL injuries are among the most common and debilitating forms of knee trauma, often resulting in joint effusion, muscular atrophy, and diminished athletic capabilities. Despite the established efficacy of ACL reconstruction as the standard treatment, it is not uniformly successful. Consequently, there is a growing interest in novel biotherapeutic interventions as potential alternatives. This comprehensive review examines the latest advancements in ACL biotherapy, encompassing the application of hyaluronic acid, self-assembled short peptides, growth factors, stem cell therapy, gene therapy, platelet-rich plasma therapy, bone marrow aspirate concentrate cells, extracorporeal shock wave, electrical stimulation and cross bracing protocol. The collective aim of these innovative treatments is to facilitate the restoration of the ACL’s native biological and biomechanical integrity, with the ultimate goal of enhancing clinical outcomes and the functional recovery of affected individuals.

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Editorial Commentary: Postoperative Pain Management After Anterior Cruciate Ligament Reconstruction Can Minimize Opioid Use and Allow Early Rehabilitation

Cited by 3 publications

References 17 publications

Application of ultrasound-guided single femoral triangle and adductor canal block in arthroscopic knee surgery: a prospective, double-blind, randomized clinical study

Application of ultrasound-guided single femoral triangle and adductor canal block in arthroscopic knee surgery: a prospective, double-blind, randomized clinical study

Periarticular cocktail injection is more useful than nerve blocks for pain management after anterior cruciate ligament reconstruction

ACL injury management: a comprehensive review of novel biotherapeutics

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