Comparison between adductor canal block and femoral nerve block for different knee surgical procedures. A meta-analysis of randomized trials
ABSTRACTBackground Femoral nerve block (FNB) is a prevalent technique for analgesia following knee surgeries, but it also results in quadriceps weakness and greater chances of falling. Adductor canal block (ACB) is advertised as a motor nervesparing alternative to FNB.Objectives The aim of the study...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-01-01
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| Series: | Egyptian Journal of Anaesthesia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/11101849.2021.1984736 |
| _version_ | 1797683813088755712 |
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| author | Enas Wageh Mahdy Ahmed Mostafa Abd El-Hamid Dina Hosny Elbarbary |
| author_facet | Enas Wageh Mahdy Ahmed Mostafa Abd El-Hamid Dina Hosny Elbarbary |
| author_sort | Enas Wageh Mahdy |
| collection | DOAJ |
| description | ABSTRACTBackground Femoral nerve block (FNB) is a prevalent technique for analgesia following knee surgeries, but it also results in quadriceps weakness and greater chances of falling. Adductor canal block (ACB) is advertised as a motor nervesparing alternative to FNB.Objectives The aim of the study was to compare adductor canal block with femoral nerve block as regard different surgical procedures of the knee.Study design Meta-analysis was used to address this concern.Sittings Meta-analysis-based study following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.Methods The database MEDLINE, EMBASE, PubMed, and Cochrane were systemically searched to detect all published randomized and prospective clinical trials comparing adductor canal block with femoral nerve block as regard different surgical procedures of the knee in the last five years.Results Eighteen studies were identified for inclusion in this study, involving a total of 1457 patients. The risk of bias was low. Meta-analysis revealed that groups receiving femoral nerve blocks experience a significant decrease in pain scores and analgesic medication usage. However, adductor canal block groups have a significantly lower rate of quadriceps muscle weakness than FNB groups.Conclusion Femoral nerve block provides more analgesia and reduces analgesic consumption. On the other hand, adductor canal block, in the early postoperative period, preserves quadriceps function. |
| first_indexed | 2024-03-12T00:20:19Z |
| format | Article |
| id | doaj.art-8386cd81abc84320a212ad2f2264960b |
| institution | Directory Open Access Journal |
| issn | 1110-1849 |
| language | English |
| last_indexed | 2024-03-12T00:20:19Z |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Egyptian Journal of Anaesthesia |
| spelling | doaj.art-8386cd81abc84320a212ad2f2264960b2023-09-15T13:38:33ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492021-01-0137149150010.1080/11101849.2021.1984736Comparison between adductor canal block and femoral nerve block for different knee surgical procedures. A meta-analysis of randomized trialsEnas Wageh Mahdy0Ahmed Mostafa Abd El-Hamid1Dina Hosny Elbarbary2Faculty of Medicine, Benha University, BenhaFaculty of Medicine, Benha University, Elharam, Giza, EgyptFaculty of Medicine, Benha University, BenhaABSTRACTBackground Femoral nerve block (FNB) is a prevalent technique for analgesia following knee surgeries, but it also results in quadriceps weakness and greater chances of falling. Adductor canal block (ACB) is advertised as a motor nervesparing alternative to FNB.Objectives The aim of the study was to compare adductor canal block with femoral nerve block as regard different surgical procedures of the knee.Study design Meta-analysis was used to address this concern.Sittings Meta-analysis-based study following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.Methods The database MEDLINE, EMBASE, PubMed, and Cochrane were systemically searched to detect all published randomized and prospective clinical trials comparing adductor canal block with femoral nerve block as regard different surgical procedures of the knee in the last five years.Results Eighteen studies were identified for inclusion in this study, involving a total of 1457 patients. The risk of bias was low. Meta-analysis revealed that groups receiving femoral nerve blocks experience a significant decrease in pain scores and analgesic medication usage. However, adductor canal block groups have a significantly lower rate of quadriceps muscle weakness than FNB groups.Conclusion Femoral nerve block provides more analgesia and reduces analgesic consumption. On the other hand, adductor canal block, in the early postoperative period, preserves quadriceps function.https://www.tandfonline.com/doi/10.1080/11101849.2021.1984736Femoral nerveadductor canal blockknee surgical proceduresmetaanalysisrandomized trials |
| spellingShingle | Enas Wageh Mahdy Ahmed Mostafa Abd El-Hamid Dina Hosny Elbarbary Comparison between adductor canal block and femoral nerve block for different knee surgical procedures. A meta-analysis of randomized trials Egyptian Journal of Anaesthesia Femoral nerve adductor canal block knee surgical procedures metaanalysis randomized trials |
| title | Comparison between adductor canal block and femoral nerve block for different knee surgical procedures. A meta-analysis of randomized trials |
| title_full | Comparison between adductor canal block and femoral nerve block for different knee surgical procedures. A meta-analysis of randomized trials |
| title_fullStr | Comparison between adductor canal block and femoral nerve block for different knee surgical procedures. A meta-analysis of randomized trials |
| title_full_unstemmed | Comparison between adductor canal block and femoral nerve block for different knee surgical procedures. A meta-analysis of randomized trials |
| title_short | Comparison between adductor canal block and femoral nerve block for different knee surgical procedures. A meta-analysis of randomized trials |
| title_sort | comparison between adductor canal block and femoral nerve block for different knee surgical procedures a meta analysis of randomized trials |
| topic | Femoral nerve adductor canal block knee surgical procedures metaanalysis randomized trials |
| url | https://www.tandfonline.com/doi/10.1080/11101849.2021.1984736 |
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