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117035

Comparison between Adductor Canal Nerve Block and Femoral Nerve Block in Postoperative Pain Management after Arthroscopic Knee Surgeries

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Last updated: 03 Jan 2025

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Abstract

Background: Knee arthroscopy is one of the surgeries of lower limbs, which are associated with postoperative pain and the patients generally require a significant amount of opioid-based analgesics after such procedures. Treatment of the postoperative pains after surgical operations of lower limbs is of special importance. Inadequate treatment of these pains results in the reduction of patient's activities and related complications.
Objective: To evaluate and compare the efficacy, duration of sensory block, duration of postoperative analgesia and complication between adductor canal block (ACB) and femoral nerve block (FNB).
Patients and methods: This randomized controlled study was conducted at Sohag University Hospital. Fourty patients undergoing elective arthroscopic knee surgeries under general anesthesia were included in the study after giving written and informed consents.
Results: In our study, there was a statistically significant difference between the studied groups regarding onset and duration of sensory block peak (both were higher in ACB group). Regarding VAS, there was a statistically non-significant difference between the studied groups preoperatively and at 3, 6 and 12 hours postoperatively, while significant difference was detected between them at 24 hours postoperatively (higher VAS score in ACB group at 24 hours). On assessing change overtime in each group, the difference was statistically significant (significant fluctuation over time). But, there was statistically non significant difference between the studied groups regarding modified Ramsey before or one hour after nerve block.
Conclusion: ACB provided comparable analgesic efficacy and facilitated earlier mobilization by sparing quadriceps strength compared to FNB.

DOI

10.21608/ejhm.2020.117035

Keywords

Adductor canal nerve block, femoral nerve block, pain management, Knee surgeries

Authors

First Name

Fawzy Abbas

Last Name

Badawy

MiddleName

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Affiliation

Department of Anesthesia, ICU & Pain Management, Faculty of Medicine, Sohag University

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Orcid

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First Name

Mohsen Mohammed

Last Name

El Sayed

MiddleName

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Affiliation

Department of Anesthesia, ICU & Pain Management, Faculty of Medicine, Sohag University

Email

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City

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Orcid

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First Name

Khaled Abdelfattah Mohamed

Last Name

Abdelfattah

MiddleName

-

Affiliation

Department of Anesthesia, ICU & Pain Management, Faculty of Medicine, Sohag University

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Orcid

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Volume

81

Article Issue

3

Related Issue

17515

Issue Date

2020-10-01

Receive Date

2020-10-04

Publish Date

2020-10-01

Page Start

1,659

Page End

1,665

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 3_Pages 1659-1665.pdf

PDF . 381.4kB

Link

https://ejhm.journals.ekb.eg/article_117035.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=117035

Order

21

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparison between Adductor Canal Nerve Block and Femoral Nerve Block in Postoperative Pain Management after Arthroscopic Knee Surgeries

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Article

Created At

22 Jan 2023