Comparison of the ultrasound-guided single-injection femoral triangle block versus adductor canal block for analgesia following total knee arthroplasty: a randomized, double-blind trial.

Journal of Anesthesia
Linlin SongDong-Xin Wang

Abstract

The aim of the study is to compare the femoral triangle (FT) and adductor canal (AC) blocks in terms of the analgesic efficacy and ambulatory outcomes in the context of multimodal analgesia following total knee arthroplasty (TKA). Patients presenting for TKA were assigned to a preoperative ultrasound-guided single-injection FT or AC block. Combined spinal and epidural anesthesia with bupivacaine was administered for TKA. Perioperatively a multimodal analgesic regimen was applied up to 48 h after surgery. The primary outcome was the average pain score during movement in the first 24 h postoperatively. The secondary outcomes included pain scores at rest and during movement at postoperative predetermined time points, cumulative opioid consumption in oral morphine equivalents, functional mobility measured by the timed "Up and Go" (TUG) test and muscle strength in the lower extremity. Ninety-eight patients completed the study. Patients in the FT group had lower median pain scores during movement in the first 24 h postoperatively than those in the AC group (1.3 [1.0-3.3] vs. 3.0 [1.7-4.3]; median difference: - 1.0, adjusted 95% CI from - 1.7 to - 0.3, P = 0.010). There were significant differences in the pain scores at rest and durin...Continue Reading

References

May 21, 2003·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·H OzerL Engebretsen
Jul 2, 2008·The Journal of Orthopaedic and Sports Physical Therapy·Teresa S M YeungJoy C MacDermid
Jan 28, 2010·Journal of Rehabilitation Research and Development·Kenneth J GustafsonRonald J Triolo
Jan 1, 2014·Acta Anaesthesiologica Scandinavica·Christopher VealWyndam Strodtbeck
Feb 21, 2014·Regional Anesthesia and Pain Medicine·Junping ChenFrancesco Resta-Flarer
Dec 17, 2014·Acta Anaesthesiologica Scandinavica·H L AndersenJ Tranum-Jensen
Mar 31, 2015·Surgical and Radiologic Anatomy : SRA·Tiffany K LonchenaSteven L Orebaugh
Jun 17, 2015·Regional Anesthesia and Pain Medicine·Thomas Fichtner BendtsenJens Børglum
Dec 19, 2015·Anesthesia and Analgesia·Philippe E GautierCatherine Vandepitte
Mar 26, 2016·Regional Anesthesia and Pain Medicine·David Burckett-St LaurantAnahi Perlas
Jul 22, 2016·Anesthesia and Analgesia·Pierre GoffinAdmir Hadzic
Oct 25, 2016·Regional Anesthesia and Pain Medicine·Thomas Fichtner BendtsenJens Børglum
Dec 22, 2016·Regional Anesthesia and Pain Medicine·Wan Yi WongThomas Fichtner Bendtsen
Oct 11, 2017·Regional Anesthesia and Pain Medicine·David F JohnstonSugantha Ganapathy
May 6, 2019·British Journal of Anaesthesia·A ChuanUNKNOWN Continuous Catheters in Adductor Canal versus Femoral Triangle (The CAFE study) investigators

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