Adductor Canal Block for Post-Operative Pain Relief in Knee Surgeries: A Review Article
نویسندگان
چکیده
The adductor canal block (ACB) is newer compartment block of the saphenous nerve, which is a branch of femoral nerve, performed at the level of lower third of the thigh so that much of the motor innervation of the quadriceps group is spared, thus preserving much of the quadriceps strength making early ambulation and rehabilitation safer. The most significant advantage of the ACB over femoral nerve block and other techniques is that it is predominantly a sensory block and reduces the incidence of fall after knee surgeries.
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 کاملبررسی مداخله ای میزان کارآیی بلوک عصب فمورال تحت هدایت سونوگرافی در کانال ادکتور و مقایسه آن با روش کلاسیک بلوک عصب فمورال در تسکین درد بعد از اعمال جراحی الکتیو زانو
Aim and Background: This study aimed to determine the efficacy of femoral nerve block in adductor canal and comparison it with the classical method of femoral nerve block in terms of pain relief after elective surgery of the knee. Materials and Methods: In this study clinical trial study, 92 patients who were candidate for knee arthroscopy in Rasool Akram hospital during 2014- 2015 were eva...
متن کاملEffects of adductor-canal-blockade on pain and ambulation after total knee arthroplasty: a randomized study.
BACKGROUND Total knee arthroplasty (TKA) is associated with intense post-operative pain. Besides providing optimal analgesia, reduction in side effects and enhanced mobilization are important in this elderly population. The adductor-canal-blockade is theoretically an almost pure sensory blockade. We hypothesized that the adductor-canal-blockade may reduce morphine consumption (primary endpoint)...
متن کاملEffect of adductor-canal-blockade on established, severe post-operative pain after total knee arthroplasty: a randomised study.
BACKGROUND In this proof-of-concept study, we investigated the effect of the predominantly sensory adductor-canal-blockade on established pain in the early post-operative period after total knee arthroplasty (TKA). We hypothesised that the adductor-canal-blockade would reduce pain during flexion of the knee (primary end point) and at rest, as well as reducing morphine consumption and morphine-r...
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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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