Adductor canal block versus femoral nerve block in unicompartmental knee arthroplasty: a randomized, double blind, prospective, comparative study

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Adductor canal block versus femoral nerve block for total knee arthroplasty: a prospective, randomized, controlled trial.

BACKGROUND This prospective double-blinded, randomized controlled trial compared adductor canal block (ACB) with femoral nerve block (FNB) in patients undergoing total knee arthroplasty. The authors hypothesized that ACB, compared with FNB, would exhibit less quadriceps weakness and demonstrate noninferior pain score and opioid consumption at 6 to 8 h postanesthesia. METHODS Patients received...

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Adductor canal block versus femoral nerve block for analgesia after total knee arthroplasty: a randomized, double-blind study.

BACKGROUND AND OBJECTIVES Femoral nerve block (FNB), a commonly used postoperative pain treatment after total knee arthroplasty (TKA), reduces quadriceps muscle strength essential for mobilization. In contrast, adductor canal block (ACB) is predominately a sensory nerve block. We hypothesized that ACB preserves quadriceps muscle strength as compared with FNB (primary end point) in patients afte...

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Femoral Nerve Block versus Adductor Canal Block for Analgesia after Total Knee Arthroplasty

Inadequate pain management after total knee arthroplasty (TKA) impedes recovery, increases the risk of postoperative complications, and results in patient dissatisfaction. Although the preemptive use of multimodal measures is currently considered the principle of pain management after TKA, no gold standard pain management protocol has been established. Peripheral nerve blocks have been used as ...

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

Femoral nerve blocks (FNB) can provide effective pain relief but result in quadriceps weakness with increased risk of falls following total knee arthroplasty (TKA). Adductor canal block (ACB) is a relatively new alternative providing pure sensory blockade with minimal effect on quadriceps strength. The meta-analysis was designed to evaluate whether ACB exhibited better outcomes with respect to ...

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

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 (1...

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ژورنال

عنوان ژورنال: Ain-Shams Journal of Anesthesiology

سال: 2020

ISSN: 2090-925X

DOI: 10.1186/s42077-020-00077-8