Comparison of ultrasound-guided femoral and infrapatellar nerve block effects after anterior cruciate ligament repair surgery
Joint Authors
Imani, Farnad
Kashani, Salome Sehat
Hemmati, Karim
Salimi, Akram
Fayiz, Sayyid Hamid Rida
Rahimzadeh, Poupak
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 22, Issue 12 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Publication Date
2020-12-31
Country of Publication
United Arab Emirates
No. of Pages
6
Main Subjects
Abstract EN
Background: There are various protocols for pain management after anterior cruciate ligament (ACL) reconstruction surgery.
Objectives: This study aimed to compare two blocking protocols, including Femoral nerve block (FNB) and Infrapatellar nerve block (IPNB) in terms of pain severity, patient satisfaction, and muscle force preservation.
Methods: This single-blind clinical trial study investigated the patients who underwent elective knee arthroscopic ACL surgery randomly either by Ultrasound-guided FNB or IPNB.
Subsequently, the patients were evaluated 1, 3, 6, 12, and 24 h following NB for pain severity, patient satisfaction level, and muscle force.
Results: The pain score (both at rest and in flexion) was significantly lower in the first three h after the intervention in the FNB group.
Moreover, the mean score of the patients’ satisfaction in the first hours was significantly higher in the FNB group after the procedure.
Additionally, the IPNB group obtained a significantly faster mean time required for the first dose of opioid request.
The mean dose of used opioids over 24 h was significantly lower in the FNB group.
There was a significant difference between the groups in terms of the muscle strength score within 24 h; moreover, the FNB group obtained a significantly greater delay in muscle recovery.
Conclusion: The FNB is associated with greater pain relief and satisfaction in patients who underwent arthroscopic ACL reconstruction surgery, compared to the IFNB technique.
However, a further delay in the recovery of quadr iceps muscle force is evident in the FNB group.
American Psychological Association (APA)
Rahimzadeh, Poupak& Kashani, Salome Sehat& Hemmati, Karim& Imani, Farnad& Salimi, Akram& Fayiz, Sayyid Hamid Rida. 2020. Comparison of ultrasound-guided femoral and infrapatellar nerve block effects after anterior cruciate ligament repair surgery. Iranian Red Crescent Medical Journal،Vol. 22, no. 12, pp.1-6.
https://search.emarefa.net/detail/BIM-1430524
Modern Language Association (MLA)
Rahimzadeh, Poupak…[et al.]. Comparison of ultrasound-guided femoral and infrapatellar nerve block effects after anterior cruciate ligament repair surgery. Iranian Red Crescent Medical Journal Vol. 22, no. 12 (Dec. 2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1430524
American Medical Association (AMA)
Rahimzadeh, Poupak& Kashani, Salome Sehat& Hemmati, Karim& Imani, Farnad& Salimi, Akram& Fayiz, Sayyid Hamid Rida. Comparison of ultrasound-guided femoral and infrapatellar nerve block effects after anterior cruciate ligament repair surgery. Iranian Red Crescent Medical Journal. 2020. Vol. 22, no. 12, pp.1-6.
https://search.emarefa.net/detail/BIM-1430524
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5-6
Record ID
BIM-1430524