Femoral–Obturator–Sciatic (FOS) Nerve Block as an Anesthetic Triad for Arthroscopic ACL Reconstruction: Is This the Magic Trick We Were Missing?
Arthroscopic anterior cruciate ligament (ACL) reconstruction with hamstring grafting is a common orthopedic procedure that is associated with moderate-to-severe pain. Peripheral nerve blockade as an anesthetic technique is an appealing option in the era of modern anesthesia. The aim of this narrativ...
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| Format: | Article |
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MDPI AG
2024-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/4/1054 |
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| author | Metaxia Bareka Maria P. Ntalouka Fragkiskos Angelis Maria Mermiri Aikaterini Tsiaka Michael Hantes Eleni Arnaoutoglou |
| author_facet | Metaxia Bareka Maria P. Ntalouka Fragkiskos Angelis Maria Mermiri Aikaterini Tsiaka Michael Hantes Eleni Arnaoutoglou |
| author_sort | Metaxia Bareka |
| collection | DOAJ |
| description | Arthroscopic anterior cruciate ligament (ACL) reconstruction with hamstring grafting is a common orthopedic procedure that is associated with moderate-to-severe pain. Peripheral nerve blockade as an anesthetic technique is an appealing option in the era of modern anesthesia. The aim of this narrative review is to document the efficacy and safety of the combination of femoral, obturator, and sciatic (FOS) nerve blocks as an exclusive method for anesthesia in patients undergoing ACL reconstruction. An electronic search of the literature published up to October 2023 was conducted in the Medline, Embase, Cochrane, Web of Science, and Google Scholar databases to find studies on ACL reconstruction and peripheral obturator nerve block. Overall, 8 prospective studies—with a total of 315 patients—published between 2007 and 2022 were included in this review. Ultrasound-guided peripheral FOS nerve blockade is an effective anesthetic technique for ACL reconstruction, offering good perioperative pain management, minimal opioid consumption, and an excellent safety profile. Further well-designed prospective studies are needed to determine the best approach for obturator nerve blockade and the appropriate type and dosage of local anesthetic. |
| first_indexed | 2024-03-07T22:26:39Z |
| format | Article |
| id | doaj.art-64a7988488f044898a6c3a28d79c658f |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-07T22:26:39Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-64a7988488f044898a6c3a28d79c658f2024-02-23T15:22:09ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-01134105410.3390/jcm13041054Femoral–Obturator–Sciatic (FOS) Nerve Block as an Anesthetic Triad for Arthroscopic ACL Reconstruction: Is This the Magic Trick We Were Missing?Metaxia Bareka0Maria P. Ntalouka1Fragkiskos Angelis2Maria Mermiri3Aikaterini Tsiaka4Michael Hantes5Eleni Arnaoutoglou6Department of Anaesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa University Hospital, 41110 Larissa, GreeceDepartment of Anaesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa University Hospital, 41110 Larissa, GreeceDepartment of Orthopaedic Surgery and Musculoskelatal Trauma, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa University Hospital, 41110 Larissa, GreeceDepartment of Anaesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa University Hospital, 41110 Larissa, GreeceDepartment of Anaesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa University Hospital, 41110 Larissa, GreeceDepartment of Orthopaedic Surgery and Musculoskelatal Trauma, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa University Hospital, 41110 Larissa, GreeceDepartment of Anaesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa University Hospital, 41110 Larissa, GreeceArthroscopic anterior cruciate ligament (ACL) reconstruction with hamstring grafting is a common orthopedic procedure that is associated with moderate-to-severe pain. Peripheral nerve blockade as an anesthetic technique is an appealing option in the era of modern anesthesia. The aim of this narrative review is to document the efficacy and safety of the combination of femoral, obturator, and sciatic (FOS) nerve blocks as an exclusive method for anesthesia in patients undergoing ACL reconstruction. An electronic search of the literature published up to October 2023 was conducted in the Medline, Embase, Cochrane, Web of Science, and Google Scholar databases to find studies on ACL reconstruction and peripheral obturator nerve block. Overall, 8 prospective studies—with a total of 315 patients—published between 2007 and 2022 were included in this review. Ultrasound-guided peripheral FOS nerve blockade is an effective anesthetic technique for ACL reconstruction, offering good perioperative pain management, minimal opioid consumption, and an excellent safety profile. Further well-designed prospective studies are needed to determine the best approach for obturator nerve blockade and the appropriate type and dosage of local anesthetic.https://www.mdpi.com/2077-0383/13/4/1054anterior cruciate ligamentobturator nerve blockanesthesia |
| spellingShingle | Metaxia Bareka Maria P. Ntalouka Fragkiskos Angelis Maria Mermiri Aikaterini Tsiaka Michael Hantes Eleni Arnaoutoglou Femoral–Obturator–Sciatic (FOS) Nerve Block as an Anesthetic Triad for Arthroscopic ACL Reconstruction: Is This the Magic Trick We Were Missing? Journal of Clinical Medicine anterior cruciate ligament obturator nerve block anesthesia |
| title | Femoral–Obturator–Sciatic (FOS) Nerve Block as an Anesthetic Triad for Arthroscopic ACL Reconstruction: Is This the Magic Trick We Were Missing? |
| title_full | Femoral–Obturator–Sciatic (FOS) Nerve Block as an Anesthetic Triad for Arthroscopic ACL Reconstruction: Is This the Magic Trick We Were Missing? |
| title_fullStr | Femoral–Obturator–Sciatic (FOS) Nerve Block as an Anesthetic Triad for Arthroscopic ACL Reconstruction: Is This the Magic Trick We Were Missing? |
| title_full_unstemmed | Femoral–Obturator–Sciatic (FOS) Nerve Block as an Anesthetic Triad for Arthroscopic ACL Reconstruction: Is This the Magic Trick We Were Missing? |
| title_short | Femoral–Obturator–Sciatic (FOS) Nerve Block as an Anesthetic Triad for Arthroscopic ACL Reconstruction: Is This the Magic Trick We Were Missing? |
| title_sort | femoral obturator sciatic fos nerve block as an anesthetic triad for arthroscopic acl reconstruction is this the magic trick we were missing |
| topic | anterior cruciate ligament obturator nerve block anesthesia |
| url | https://www.mdpi.com/2077-0383/13/4/1054 |
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