![](/images/graphics-bg.png)
Comparison between effects of adductor canal block and femoral nerve block on early postoperative course in total knee arthroplasty : a prospective double-blind, randomized controlled study
Joint Authors
Sultan, Sharif S.
Hijazi, Nasr A.
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 8, Issue 1 (31 Mar. 2015), pp.124-128, 5 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2015-03-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Topics
Abstract EN
Context Femoral nerve block (FNB) provides effective analgesia after total knee arthroplasty (TKA) but has been associated with delayed ambulation due to quadriceps muscle weakness.
Adductor canal block (ACB) may be a promising alternative, with less effect on the quadriceps muscle and comparable analgesic effi cacy.
Aim The aim of the study was to compare ACB with FNB regarding the quadriceps muscle strength and its analgesic effi cacy in patients following TKA.
Settings and design This was a prospective, randomized, controlled, double-blinded study.
Patients and methods The patients were randomized to receive either ACB or FNB.
The primary outcome was the effect on quadriceps muscle and early ambulation as determined by the timed up and go test and 10-min walk test.
The secondary outcome was to compare the analgesic effi cacy as determined by numeric rating scale, opioid consumption, and hospital length of stay.
Results We enrolled 110 patients, of whom 107 were analyzed.
The timed up and go test and the 10-m walk test were signifi cantly shorter in the ACB group than in the FNB group on the postoperative day 1 with P-value of 0.002 and 0.005, respectively, whereas the difference between both study groups was statistically nonsignifi cant on the postoperative day 2.
There was no signifi cant difference between the study groups regarding the numeric rating scale, morphine consumption, or length of stay.
Conclusion ACB may promote early ambulation after TKA without a reduction in analgesia when compared with FNB
American Psychological Association (APA)
Hijazi, Nasr A.& Sultan, Sharif S.. 2015. Comparison between effects of adductor canal block and femoral nerve block on early postoperative course in total knee arthroplasty : a prospective double-blind, randomized controlled study. Ain Shams Journal of Anesthesiology،Vol. 8, no. 1, pp.124-128.
https://search.emarefa.net/detail/BIM-650933
Modern Language Association (MLA)
Hijazi, Nasr A.& Sultan, Sharif S.. Comparison between effects of adductor canal block and femoral nerve block on early postoperative course in total knee arthroplasty : a prospective double-blind, randomized controlled study. Ain Shams Journal of Anesthesiology Vol. 8, no. 1 (Jan. / Mar. 2015), pp.124-128.
https://search.emarefa.net/detail/BIM-650933
American Medical Association (AMA)
Hijazi, Nasr A.& Sultan, Sharif S.. Comparison between effects of adductor canal block and femoral nerve block on early postoperative course in total knee arthroplasty : a prospective double-blind, randomized controlled study. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 1, pp.124-128.
https://search.emarefa.net/detail/BIM-650933
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 128
Record ID
BIM-650933