Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study
Background: The objective of this study was to evaluate the reliability of the postoperative pain control using adductor canal block (ACB) compared that using the femoral nerve block (FNB) in patients with anterior cruciate ligament reconstructions (ACLR). Materials and methods: One hundred and twen...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Saudi Journal of Anaesthesia |
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| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2015;volume=9;issue=3;spage=279;epage=282;aulast=El |
| _version_ | 1811199470821441536 |
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| author | Mohamed Sayed El Ahl |
| author_facet | Mohamed Sayed El Ahl |
| author_sort | Mohamed Sayed El Ahl |
| collection | DOAJ |
| description | Background: The objective of this study was to evaluate the reliability of the postoperative pain control using adductor canal block (ACB) compared that using the femoral nerve block (FNB) in patients with anterior cruciate ligament reconstructions (ACLR). Materials and methods: One hundred and twenty-eight patients who had been scheduled to patellar graft ACLR were included in this double blind study, and were randomly allocated into two groups; group ACB and group FNB (64 patients each). All patients received general anesthesia. At the end of the surgery, patients in group FNB received a FNB and those in group ACB received an ACB. The postoperative pain (visual analog scale [VAS]) and muscle weakness were assessed in the postoperative care unit and every 6 h thereafter for 24 h. The total morphine requirements were also recorded. Results: Patients in group ACB had significantly higher VAS (at 18 h and 24 h), higher morphine consumption, but significantly less quadriceps weakness than those in group FNB. Conclusion: In patients with patellar graft ACLR, the ACB can maintain a higher quadriceps power, but with lesser analgesia compared with the FNB. |
| first_indexed | 2024-04-12T01:48:49Z |
| format | Article |
| id | doaj.art-da78ce4de0c24a2cac12dd4b32631d53 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-04-12T01:48:49Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-da78ce4de0c24a2cac12dd4b32631d532022-12-22T03:53:00ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2015-01-019327928210.4103/1658-354X.154708Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind studyMohamed Sayed El AhlBackground: The objective of this study was to evaluate the reliability of the postoperative pain control using adductor canal block (ACB) compared that using the femoral nerve block (FNB) in patients with anterior cruciate ligament reconstructions (ACLR). Materials and methods: One hundred and twenty-eight patients who had been scheduled to patellar graft ACLR were included in this double blind study, and were randomly allocated into two groups; group ACB and group FNB (64 patients each). All patients received general anesthesia. At the end of the surgery, patients in group FNB received a FNB and those in group ACB received an ACB. The postoperative pain (visual analog scale [VAS]) and muscle weakness were assessed in the postoperative care unit and every 6 h thereafter for 24 h. The total morphine requirements were also recorded. Results: Patients in group ACB had significantly higher VAS (at 18 h and 24 h), higher morphine consumption, but significantly less quadriceps weakness than those in group FNB. Conclusion: In patients with patellar graft ACLR, the ACB can maintain a higher quadriceps power, but with lesser analgesia compared with the FNB.http://www.saudija.org/article.asp?issn=1658-354X;year=2015;volume=9;issue=3;spage=279;epage=282;aulast=ElAnesthetic techniquesanesthetics localequipmentfemoralregionalropivacaineultrasound machines |
| spellingShingle | Mohamed Sayed El Ahl Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study Saudi Journal of Anaesthesia Anesthetic techniques anesthetics local equipment femoral regional ropivacaine ultrasound machines |
| title | Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study |
| title_full | Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study |
| title_fullStr | Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study |
| title_full_unstemmed | Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study |
| title_short | Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study |
| title_sort | femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction a randomized controlled double blind study |
| topic | Anesthetic techniques anesthetics local equipment femoral regional ropivacaine ultrasound machines |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2015;volume=9;issue=3;spage=279;epage=282;aulast=El |
| work_keys_str_mv | AT mohamedsayedelahl femoralnerveblockversusadductorcanalblockforpostoperativepaincontrolafteranteriorcruciateligamentreconstructionarandomizedcontrolleddoubleblindstudy |