Quadriceps Strength After ACL Reconstruction: Femoral Nerve Block Versus Adductor Canal Nerve Block

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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 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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Rehabilitation Outcomes for Total Knee Arthroplasties: Continuous Adductor Canal Block Versus Continuous Femoral Nerve Block

Objective To determine whether any strength, range of motion (ROM), or functional improvement exists in the adductor canal block (ACB) group after completion of inpatient rehabilitation and following the removal of the continuous block. Design Retrospective cohort. Setting Inpatient rehabilitation at discharge and outpatient orthopedic clinic for follow-up. Participants Two hundred forty-...

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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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BACKGROUND AND OBJECTIVES Adductor canal block (ACB) has been suggested as an analgesic alternative to femoral nerve block (FNB) for procedures on the knee, but its effect on quadriceps motor function is unclear. We performed a randomized, blinded study to compare quadriceps strength following adductor canal versus FNB in volunteers. Our hypothesis was that quadriceps strength would be preserve...

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ژورنال

عنوان ژورنال: Arthroscopy: The Journal of Arthroscopic & Related Surgery

سال: 2021

ISSN: 0749-8063

DOI: 10.1016/j.arthro.2020.12.147