Is the proximal adductor canal block a better choice than the distal adductor canal block for primary total knee arthroplasty?
نویسندگان
چکیده
منابع مشابه
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...
متن کاملAdductor 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...
متن کاملFemoral 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 ...
متن کاملComparison 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...
متن کاملAdductor Canal Block for Total Knee Arthroplasty: A Review of the Current Evidence
The positive impact of regional anesthesia on surgical outcome has continued to evolve. In recent years, the focus of acute pain management strategies following total knee arthroplasty has shifted from femoral nerve block to adductor canal block. We systematically analyzed the safety and efficacy of adductor canal blocks by reviewing 78 peer-reviewed publications, including 13 randomized contro...
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ژورنال
عنوان ژورنال: Medicine
سال: 2020
ISSN: 0025-7974,1536-5964
DOI: 10.1097/md.0000000000022667