Discharge Readiness after Tricompartment Knee Arthroplasty

Abstract

Compared with a continuous femoral nerve block, a continuous adductor canal block did not appreciably decrease the time to overall discharge readiness even though it did decrease the time until adequate mobilization, primarily because both groups experienced similar analgesia and intravenous opioid requirements that--in most cases--exceeded the time to mobilization.

Adductor canal block versus femoral nerve block for total knee arthroplasty: a meta-analysis of randomized controlled trials

“…When comparing the number of patients able to perform TUG test between groups, it was found that ACB was not significantly superior to the FNB at post-anesthesia 48 h2032 (OR = −35.89, 95% CI: −76.35–4.58; P  = 0.08) and 72 h2032 (OR = −35.89, 95% CI: −76.35–4.58; P  = 0.08). However, there were more post-TKA patients able to conduct TUG test in ACB, compared with those in FNB throughout the first 24 h (OR = 23.14, 95% CI: 5.33–100.37; P  < 0.0001) with no heterogeneity (I 2  = 0%, P  = 0.91, Table 4)163233.…”

“…However, there were more post-TKA patients able to conduct TUG test in ACB, compared with those in FNB throughout the first 24 h (OR = 23.14, 95% CI: 5.33–100.37; P  < 0.0001) with no heterogeneity (I 2  = 0%, P  = 0.91, Table 4)163233.…”

“…Another 3 studies were identified through manual search. After removing duplications, scanning titles and abstracts, and reading the full-text, 12 RCTs met the inclusion criteria151617181920232425313233.…”

“…Data on 661 primary TKAs (including 329 with ACB and 322 with FNB) were pooled from 10 trials15161819202325313233 analyzing the pain score at rest (defined as VAS pain scores at different time points at rest). The ACB and FNB groups were not statistically significantly different with regard to pain during rest at each time point (e.g.…”

“…Data on 403 primary TKAs (including 198 with ACB and 205 with FNB) from 6 trials171824253233 were analyzed in terms of ROM. The result suggested that post-TKA patients with ACB showed a better outcome in ROM comparing with those in FNB throughout the first 72 h (e.g.…”