Ultrasound-guided infrapatellar nerve block for anterior cruciate ligament repair: a prospective, randomised, double-blind, placebo-controlled clinical trial

Lundblad, M.; Forssblad, Magnus; Eksborg, Staffan; Lönnqvist, Per‐Arne

doi:10.1097/eja.0b013e32834515ba

Cited by 37 publications

(23 citation statements)

References 18 publications

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“…Uncontrolled pain may hinder mobilization and consequently prolong the rehabilitation period [8]. Previous studies have shown that effective pain control results in better outcomes and decreases the duration of hospitalization [3,[8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Comparison of femoral block and adductor canal block in the postoperative analgesia of patients undergoing arthroscopic knee surgery

Tülübaş

Bostancı

Sertçakacılar

et al. 2019

The European Research Journal

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Objectives. The aim of the study was to compare adductor canal block and femoral nerve block in the postoperative analgesia of patients undergoing elective arthroscopic knee surgery with respect to opioid use and Visual Analogue Scale (VAS), which is a unidimensional measurement of pain intensity. Methods. The study was designed and conducted prospectively between April 2016 and November 2016 in a tertiary care hospital but the results were evaluated retrospectively. Prior to the induction of general anesthesia for knee surgery, (the first) 20 consecutive patients underwent femoral nerve block, and (the second) 20 consecutive patients received adductor canal block. Patients receiving adductor canal block for analgesia were referred to as Group A and patients receiving femoral nerve block for analgesia were defined as Group F. Pain was evaluated using the VAS score.The results were compared statistically. Results. Both the femoral nerve block and adductor canal block groups showed similar results in terms of VAS and opioid use (p < 0.05). Conclusion. In the postoperative analgesia of patients undergoing elective arthroscopic knee surgery, no difference was found between adductor canal block and femoral nerve block in terms of opioid use and VAS scores.Eur Res J 2018

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Section: Discussionmentioning

confidence: 99%

Comparison of femoral block and adductor canal block in the postoperative analgesia of patients undergoing arthroscopic knee surgery

Tülübaş

Bostancı

Sertçakacılar

et al. 2019

The European Research Journal

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“…Therefore, ACB shows potential as a primarily sensory block with limited motor involvement. Indeed, the ACB provides analgesia after arthroscopic medial meniscectomy [16] and surgical repair of the anterior cruciate ligament [17]. Furthermore, previous studies demonstrated that ACB improved reported pain scores and reduced opioid requirements when compared with placebo in patients undergoing TKA [18][19][20][21].…”

Section: Introductionmentioning

confidence: 98%

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

Patterson

Bland

Thomas

et al. 2015

Journal of Clinical Anesthesia

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“…Several studies (including two randomized, double-blinded, placebo-controlled trials) have examined the efficacy of a selective nerve block of the IPBSN for treatment of postoperative knee pain [57][58][59][60][61]. Trescot described the use of cryoneurolysis of the IPBSN for knee pain in 2003.…”

Section: Perioperative Treatment For Post-surgical Painmentioning

confidence: 99%

“…A randomized, double-masked, placebo-controlled clinical trial (n = 64) of patients undergoing anterior cruciate ligament repair involved an IPBSN block with levobupivacaine (Chirocaine, Abbott Scandinavia AB, Solna, Sweden) 10-20 min prior to the procedure [57]. At 16-24 h postoperatively, the percent of patients with a pain score higher than 3 (out of 10) was lower in the block group than the sham group (P = 0.0117).…”

Section: Perioperative Treatment For Post-surgical Painmentioning

confidence: 99%

Novel cryoneurolysis device for the treatment of sensory and motor peripheral nerves

Ilfeld

Preciado

Trescot

2016

Expert Review of Medical Devices

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Introduction: Cryoneurolysis is the direct application of low temperatures to reversibly ablate peripheral nerves to provide pain relief. Recent development of a handheld cryoneurolysis device with small gauge probes and an integrated skin warmer broadens the clinical applications to include treatment of superficial nerves, further enabling treatments for pre-operative pain, post-surgical pain, chronic pain, and muscle movement disorders. Areas covered: Cryoneurolysis is the direct application of cold temperatures to a peripheral nerve, resulting in reversible ablation due to Wallerian degeneration and nerve regeneration. Use over the last 50 years attests to a very low incidence of complications and adverse effects. Cryoprobes have traditionally been applied through a surgical incision; but, recent technical advances allow percutaneous administration. A new hand-held device is now approved for use within the United States. Cryoneurolysis has been used to treat postoperative and chronic pain states as well as spasticity. Expert commentary: Changes in the US healthcare system such as a push for the reduction of opioid use and the incorporation of Diagnostic Related Group codes, as well as recent technological advances including a handheld unit that allows for treatment of superficial nerves while protecting the skin from damage, may contribute to the resurgence of cryoneurolysis for the treatment of peripheral nerves. ARTICLE HISTORY

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Ultrasound-guided infrapatellar nerve block for anterior cruciate ligament repair: a prospective, randomised, double-blind, placebo-controlled clinical trial

Abstract: Adjunct use of an ultrasound-guided block of the infrapatellar nerve is associated with improved pain relief and an increased number of sleep hours after arthroscopy-assisted anterior cruciate ligament repair.

Cited by 37 publications

References 18 publications

Comparison of femoral block and adductor canal block in the postoperative analgesia of patients undergoing arthroscopic knee surgery

Comparison of femoral block and adductor canal block in the postoperative analgesia of patients undergoing arthroscopic knee surgery

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

Novel cryoneurolysis device for the treatment of sensory and motor peripheral nerves

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