The adductor canal block provides effective analgesia similar to a femoral nerve block in patients undergoing total knee arthroplasty—a retrospective study

Patterson, Matthew E.; Bland, Kim; Thomas, Leslie; Elliott, Clint E.; Soberón, José R.; Nossaman, Bobby D.; Osteen, Kristie D.

doi:10.1016/j.jclinane.2014.08.005

Cited by 68 publications

(75 citation statements)

References 28 publications

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“…Finally, we included 8 clinical trials with 751 patients (751 knees) in the meta-analysis. 10–17 Since on study performed the trial in one patient with one leg in ACB and another is in FNB. 11 The characteristics of the studies that were included are shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Comparison of Adductor Canal Block and Femoral Nerve Block for Postoperative Pain in Total Knee Arthroplasty

Dong

2016

Medicine

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A total knee arthroplasty (TKA) has always been associated with moderate-to-severe pain. A systematic review of randomized controlled trials (RCTs) and non-RCTs was performed to evaluate the efficacy and safety of pain control of adductor canal block (ACB) and femoral nerve block (FNB) after TKA.Relevant literatures about the ACB and FNB after TKA for reducing pain were searched from Medline (1996-January, 2015), Embase (1980-January, 2015), PubMed (1980-January, 2015), Web of Science (1980-January, 2015), and The Cochrane Central Register of Controlled Trials. High-quality RCTs and non-RCTs were picked to evaluate the visual analogue scale (VAS) and other outcome. This systematic review and meta-analysis were performed according to the PRISMA statement criteria. The software RevMan 5.30 was used for the meta-analysis.Eight literatures fitted into the inclusion criteria. There were no significant differences in VAS score with rest or mobilization at 4, 24, and 48 h between ACB group and FNB group. There were also no significant differences in the strength of quadriceps and adductor, the length of hospital stay, and complications of vomiting and nausea.Present meta-analysis indicated that ACB shows no superiority than FNB group. Both of them can reduce the pain score after TKA. As referred to which method to adopt, it is determined by the preference of the surgeons and anesthesiologists.

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Section: Resultsmentioning

confidence: 99%

Comparison of Adductor Canal Block and Femoral Nerve Block for Postoperative Pain in Total Knee Arthroplasty

Dong

2016

Medicine

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“…However, previous trials have found that FTB provides analgesia after TKA with better preservation of quadriceps motor function than FNB. 20,[22][23][24][25] In the current study, we only injected 10 mL of local anesthetic in the FTB to minimize proximal spread to the other motor branches of the femoral nerve. Several previous studies have found no difference in morphine consumption (20-25 mg) between adductor canal block (ACB) and femoral block during the first 24 hours after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The total intravenous morphine consumption during the first 24 postoperative hours was 2 mg (interquartile range [IQR], 0-15) in the combined ONB and FTB group, 20 mg (IQR, [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] in the FTB group (P = 0.0007), and 17 mg (IQR, in the LIA group (P = 0.002). The combined ONB and FTB group displayed reduced pain, nausea, and vomiting compared with the other groups.…”

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confidence: 99%

The Analgesic Effect of Obturator Nerve Block Added to a Femoral Triangle Block After Total Knee Arthroplasty

Runge

Børglum

Jensen

et al. 2016

Regional Anesthesia and Pain Medicine

121

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“…At this level, the saphenous nerve (SN) which appeared as a hyperechoic structure and was placed just lateral to the artery in the adductor canal ( Figure 1). A 20 G, 8 cm Tuohy needle (Sonoplex ® ; Pajunk, USA) was connected to a 20 mL syringe containing 15 mL of 0.25% levobupivacaine, and then introduced in-plane approach from the lateral aspect of the ultrasound probe and directed towards the SN, then the local anesthetic was infiltrated around it [18,19]. SNB: Full aseptic precautions also were maintained during this block.…”

Section: Laimentioning

confidence: 99%

Adductor Canal Block Combined with Sciatic Nerve Block Vs. Local Analgesic Infiltration for Pain Control after Total Knee Arthroplasty

Eldegwy¹,

Negm²

2017

J Anesth Clin Res

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Background: A combined adductor canal block (ACB) and sciatic nerve block (SNB) is new different way to achieve an efficient postoperative analgesia after total knee replacement (TKR) that spares the weakness of quadriceps femoris muscle. This prospective randomized controlled trial aimed to evaluate the efficiency and safety of the combined adductor canal with sciatic nerve blocks versus local analgesic infiltration alone for pain control after total knee replacement.

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The adductor canal block provides effective analgesia similar to a femoral nerve block in patients undergoing total knee arthroplasty—a retrospective study

Cited by 68 publications

References 28 publications

Comparison of Adductor Canal Block and Femoral Nerve Block for Postoperative Pain in Total Knee Arthroplasty

Comparison of Adductor Canal Block and Femoral Nerve Block for Postoperative Pain in Total Knee Arthroplasty

The Analgesic Effect of Obturator Nerve Block Added to a Femoral Triangle Block After Total Knee Arthroplasty

Adductor Canal Block Combined with Sciatic Nerve Block Vs. Local Analgesic Infiltration for Pain Control after Total Knee Arthroplasty

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