BACKGROUND This meta-analysis aimed to evaluate the efficiency and safety of the combined adductor canal block with peri-articular infiltration versus periarticular infiltration alone for pain control after total knee arthroplasty (TKA). METHODS PubMed, Medline, Embase, Web of Science, and the Cochrane Library were searched to identify articles comparing the combined adductor canal block with...

Nowadays knee arthroscopy is the most common orthopedic procedure. It used to diagnose and treat various pathological conditions. Usually can be performed using spinal anesthesia. The article presents a successful experience of combined technique, which consist in unilateral subarachnoid anesthesia with additional adductor canal block blocks articular branches sciatic obturator nerves.

W e congratulate Kwofie et al 1 on their thorough study on the motor effects after adductor canal block (ACB). The authors found no motor weakness after ACB in healthy volunteers using a relatively high volume of local anesthetic. The injection was made at a point considered distal to the motor supply to the quad-riceps femoris muscle. However, the motor branch to the vastus medialis muscle con...

The saphenous nerve is the longest branch of the femoral nerve and is a purely sensory nerve. It arises from the 3rd and 4th lumbar roots. As mentioned it is an exclusively sensory. It supplies the medial articulation of the knee and cutaneous sensation of the medial aspect of the knee, leg and ankle. The nerve travels in close proximity to the femoral vessels subsartorial. This hunter canal is...

Conflicting data exist regarding the anatomical relationship of the saphenous and infrapatellar nerves at the adductor canal and the location of the superior foramen of the canal. Therefore, the authors performed a cadaveric study to detail the relationship and course of the saphenous and infrapatellar nerves and the level of the superior foramen of the canal. The adductor canal and subsartoria...

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...