Adductor Canal Block Versus Femoral Nerve Block for Analgesia After Total Knee Arthroplasty

Jæger, Pia; Zaric, Dusanka; Fomsgaard, Jonna Storm; Hilsted, Karen Lisa; Bjerregaard, Jens; Gyrn, Jens; Mathiesen, Ole; Larsen, Tove; Dahl, Jørgen B.

doi:10.1097/aap.0000000000000015

Cited by 302 publications

(285 citation statements)

References 27 publications

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“…Mudumbai et al [25] compared a continuous ACB to a continuous FNB in patients undergoing TKA, but the primary outcome for this study was postoperative gait distance, which was found to be greater in patients who received an ACB. Similarly, Jaeger et al [26] performed a prospective study comparing continuous ACB to continuous FNB after TKA and found that patients in the ACB group had more preserved quadriceps strength. A more recent study by Kim et al [27] analyzed postoperative quadriceps strength and pain scores in patients who received either a single-shot FNB or ACB.…”

Section: Discussionmentioning

confidence: 95%

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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Section: Discussionmentioning

confidence: 95%

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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“…[9][10][11] To date, trials are lacking on the effect of a postoperative continuous saphenous nerve block after major ankle surgery.…”

mentioning

confidence: 99%

“…7 A continuous femoral nerve block can control pain from the saphenous territory, 8 but it leads to significant motor weakness of the quadriceps femoris muscle. 9 A supplemental continuous selective blockade of the sensory saphenous nerve might be suitable.…”

mentioning

confidence: 99%

Combined saphenous and sciatic catheters for analgesia after major ankle surgery: a double-blinded randomized controlled trial

Fisker

Iversen

Christensen

et al. 2015

Can J Anesth/J Can Anesth

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“…Jaeger et al (14) reported no significant difference between the two groups regarding morphine consumption within 2, 4, 8 and 24 hours after surgery. In another study by Kim et al (15), no significant difference in supplemental analgesia was observed within 24 and 48 hours after general anaesthesia between the ACB and the FNB groups.…”

Section: Discussionmentioning

confidence: 99%

Relieving Pain After Arthroscopic Knee Surgery: Ultrasound-Guided Femoral Nerve Block or Adductor Canal Block?

Rahimzadeh¹,

Faiz²,

Imani³

et al. 2017

Turk J Anaesth Reanim

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Objective:To compare the analgesic effects of femoral nerve block (FNB) and adductor canal block (ACB) after arthroscopic knee surgery. Methods:This was a prospective randomised clinical trial that enrolled 92 patients undergoing arthroscopic knee surgery. Ultrasound-guided FNB or ACB was performed immediately after surgery for pain relief. Visual analogue scale (VAS) scores and modified sedation-agitation scale (SAS) were recorded and analysed immediately following block and at 3, 6, 12 and 24 hours. The satisfaction level was also evaluated using a Likert-based patient questionnaire.Results: VAS scores decreased to 4.1±0.8 from 5.6±1.2 immediately after any nerve block, and within 3 hours, they continued to decrease to 2.0±0.6 in the FNB group and 3.4±1.0 in the ACB group (P=0.014). More patients in the FNB group were satisfied with the quality of the pain control compared to the ACB group. Additionally, patients in the ACB group required more supplemental analgesia compared to the FNB group. Conclusion:This study demonstrated that patients with FNB had denser analgesia after arthroscopic knee surgery and had less analgesic requirement compared with ACB. Greater satisfaction scores also reflected superior analgesia in patients receiving FNB.Keywords: Knee arthroscopy, femoral nerve, saphenous nerve, ultrasound Amaç: Bu çalışmanın amacı artroskopik diz cerrahisi sonrasında kullanılan femoral sinir bloğu (FSB) ve addüktör kanal bloğunun (AKB) analjezik etkilerini karşılaştırmaktır.Yöntemler: Bu prospektif randomize klinik çalışmaya artroskopik diz ameliyatı geçiren 92 hasta dahil edildi. Ağrıyı dindirmek amacıyla cerrahiden hemen sonra ultrason eşliğinde FSB veya AKB uygulandı. Bloğun hemen ardından ve 3., 6., 12. ve 24. saatlerde vizüel analog skalası (VAS) ve modifiye sedasyon-ajitasyon skalası (SAS) skorları kaydedildi ve analiz edildi. Aynı zamanda Likert tipi hasta anketi kullanılarak memnuniyet düzeyi de değerlendi-rildi.Bulgular: VAS skorları her iki sinir bloğundan hemen sonra 5,6±1,2'den 4,1±0,8'ye düştü ve 3 saat içerisinde FSB grubunda 2,0±0,6'ya ve AKB grubunda 3.4±1.0 değerine kadar düştü (p=0,014). AKB grubu ile kıyaslandığında, ağrı kontrolünün kalitesinden memnuniyet duyma oranı FSB grubunda daha yüksekti. Ek olarak, AKB grubundaki hastalarda ilave analjezi ihtiyacının, FSB grubundaki hastalara göre daha yüksek olduğu görüldü.Sonuç: Çalışmanın sonucuna göre, artroskopik diz cerrahisi sonrasında FSB daha yoğun analjezi ve AKB ile kıyaslandığında bu hastalarda daha az analjezik gereksinimi görülmüştür. Ayrıca daha yüksek memnuniyet skorları, FSB uygulanan hastalarda daha iyi analjezi sağlandığını göstermiştir.Anahtar Sözcükler: Diz artroskopisi, femoral sinir, safenöz sinir Abstract / Öz

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Adductor Canal Block Versus Femoral Nerve Block for Analgesia After Total Knee Arthroplasty

Abstract: Adductor canal block preserved quadriceps muscle strength better than FNB, without a significant difference in postoperative pain.

Cited by 302 publications

References 27 publications

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

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

Combined saphenous and sciatic catheters for analgesia after major ankle surgery: a double-blinded randomized controlled trial

Relieving Pain After Arthroscopic Knee Surgery: Ultrasound-Guided Femoral Nerve Block or Adductor Canal Block?

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