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Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study.

El Ahl MS - Saudi J Anaesth (2015 Jul-Sep)

Bottom Line: The total morphine requirements were also recorded.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.In patients with patellar graft ACLR, the ACB can maintain a higher quadriceps power, but with lesser analgesia compared with the FNB.

View Article: PubMed Central - PubMed

Affiliation: Lecturer of Anesthesia, Ain Shams University, Cairo, Egypt.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus

Visual analogue scale values. *statistically significant
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Figure 1: Visual analogue scale values. *statistically significant

Mentions: Patients in both groups had comparable characteristics [Table 1]. Patients in group ACB had significantly higher VAS at 18 h and 24 h [Figure 1], but significantly less quadriceps weakness than those in group FNB [Figure 2]. The total morphine consumption was statistically higher in ACB group than FNB group (18 mg [6] vs. 12 mg [4], P-0.0001*). No complications were recorded in both groups.


Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study.

El Ahl MS - Saudi J Anaesth (2015 Jul-Sep)

Visual analogue scale values. *statistically significant
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4478820&req=5

Figure 1: Visual analogue scale values. *statistically significant
Mentions: Patients in both groups had comparable characteristics [Table 1]. Patients in group ACB had significantly higher VAS at 18 h and 24 h [Figure 1], but significantly less quadriceps weakness than those in group FNB [Figure 2]. The total morphine consumption was statistically higher in ACB group than FNB group (18 mg [6] vs. 12 mg [4], P-0.0001*). No complications were recorded in both groups.

Bottom Line: The total morphine requirements were also recorded.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.In patients with patellar graft ACLR, the ACB can maintain a higher quadriceps power, but with lesser analgesia compared with the FNB.

View Article: PubMed Central - PubMed

Affiliation: Lecturer of Anesthesia, Ain Shams University, Cairo, Egypt.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus