A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study

Ekinci, Mine; Çiftçi, Bahadır; Demiraran, Yavuz; Çelik, Erkan; Yayık, Ahmet Murat; Omur, Burak; Kuyucu, Ersin; Atalay, Yunus Oktay

doi:10.4097/kja.21040

Cited by 1 publication

(2 citation statements)

References 23 publications

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“…62 Passive leg mobilization has been shown to alter the distribution of local anesthetic in different fascial planes. 62,63 CONCLUSIONS Table 2 summarizes the Pro and Con argument of an optimal location for peripheral nerve block for perioperative analgesia following TKA. The SN, NVM, MFCN, IFCN, and obturator nerve have varying courses and locations where they become separated by fascia from the SN.…”

Section: Anesthesia and Analgesiamentioning

confidence: 99%

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Pro and Con: How Important Is the Exact Location of Adductor Canal and Femoral Triangle Blocks?

Woodworth

Arner

Nelsen

et al. 2023

Anesthesia &Amp; Analgesia

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In this Pro-Con commentary article, we debate the importance of anterior thigh block locations for analgesia following total knee arthroplasty. The debate is based on the current literature, our understanding of the relevant anatomy, and a clinical perspective. We review the anatomy of the different fascial compartments, the course of different nerves with respect to the fascia, and the anatomy of the nerve supply to the knee joint. The Pro side of the debate supports the view that more distal block locations in the anterior thigh increase the risk of excluding the medial and intermediate cutaneous nerves of the thigh and the nerve to the vastus medialis, while increasing the risk of spread to the popliteal fossa, making distal femoral triangle block the preferred location. The Con side of the debate adopts the view that while the exact location of local anesthetic injection appears anatomically important, it has not been proven to be clinically relevant.

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Section: Anesthesia and Analgesiamentioning

confidence: 99%

“…62 Passive leg mobilization has been shown to alter the distribution of local anesthetic in different fascial planes. 62,63…”

Section: Con—the “Exact” Location Of Injection Of Local Anesthetic Ma...mentioning

confidence: 99%

Pro and Con: How Important Is the Exact Location of Adductor Canal and Femoral Triangle Blocks?

Woodworth

Arner

Nelsen

et al. 2023

Anesthesia &Amp; Analgesia

View full text Add to dashboard Cite

show abstract

A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study

Abstract: This article has been accepted for publication and has undergone full peer review but has notbeen through the copyediting, typesetting, pagination, and proofreading processes, which may lead to differences between this version and the version of record.

Cited by 1 publication

References 23 publications

Pro and Con: How Important Is the Exact Location of Adductor Canal and Femoral Triangle Blocks?

Pro and Con: How Important Is the Exact Location of Adductor Canal and Femoral Triangle Blocks?

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