Combined adductor canal and i-PAK blocks is better than combined adductor canal and periarticular injection blocks for painless ACL reconstruction surgery

Combined adductor canal block with periarticular infiltration versus periarticular infiltration for analgesia after total knee arthroplasty

BACKGROUND Both adductor canal block (ACB) and periarticular infiltration (PI) have been shown to reduce pain after total knee arthroplasty (TKA) without the motor blockade. However, the efficacy and safety of combined ACB with PI (ACB + PI) as compared to PI alone for analgesia after TKA remains controversial. We therefore performed a meta-analysis to compare the effects of ACB + PI with PI al...

Adductor Canal Block for Knee Surgeries: An Emerging Analgesic Technique

In recent years, adductor canal block (ACB) has been introduced as an alternative for femoral nerve block with a great advantage of preserving or minimally reducing quadriceps strength. The technique is relatively easy and is performed under ultrasound guidance. Despite growing evidence regarding efficacy and safety of ACB following knee surgery, use of ACB is still limited to high volume ortho...

Continuous adductor canal blocks are superior to continuous femoral nerve blocks in promoting early ambulation after TKA.

BACKGROUND Femoral continuous peripheral nerve blocks (CPNBs) provide effective analgesia after TKA but have been associated with quadriceps weakness and delayed ambulation. A promising alternative is adductor canal CPNB that delivers a primarily sensory blockade; however, the differential effects of these two techniques on functional outcomes after TKA are not well established. QUESTIONS/PUR...

Adductor Canal Block for Knee Surgeries: An Emerging Analgesic Technique.

Continuous Adductor Canal Versus Continuous Femoral Nerve Blocks: Relative Effects on Discharge Readiness Following Unicompartment Knee Arthroplasty.

BACKGROUND We tested the hypothesis that, following unicompartment knee arthroplasty, a continuous adductor canal block decreases the time to reach 4 discharge criteria compared with a continuous femoral nerve block. METHODS Subjects were randomized to either an adductor canal or femoral perineural catheter (2-day ropivacaine 0.2% infusion) in an unmasked fashion. The primary outcome was the ...