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Is the proximal adductor canal block a better choice than the distal adductor canal block for primary total knee arthroplasty?
- Source :
- Medicine
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- Background: Total knee arthroplasty is accompanied by moderate to severe postoperative pain. Postoperative pain hampers the functional recovery and lowers patient satisfaction with the surgery. Recently, the adductor canal block (ACB) has been widely used in total knee arthroplasty. However, there is no definite answer as to the location of a continuous block within the ACBs. Method: Randomized controlled trials about relevant studies were searched in PubMed (1996 to Oct 2019), Embase (1996 to Oct 2019), and Cochrane Library (CENTRAL, Oct 2019). Results: Five studies involving 348 patients met the inclusion criteria. Pooled data indicated that the proximal ACB was as effective as the distal ACB in terms of total opioid consumption (P = .54), average visual analog scale (VAS) score (P = .35), worst VAS score (P = .19), block success rate (P = .86), and time of catheter insertion (P = .54). Conclusions: Compared with the distal ACB, the proximal ACB showed similar analgesic efficacy for total opioid consumption, average VAS score, worst VAS score, block success rate, and time of catheter insertion. However, because of the limited number of involved studies, more high-quality studies are needed to further identify the optimal location of the ACB.
- Subjects :
- Male
total knee arthroplasty
medicine.medical_specialty
Adductor canal
Visual analogue scale
Analgesic
Cochrane Library
law.invention
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Randomized controlled trial
law
Humans
Pain Management
Medicine
030212 general & internal medicine
Arthroplasty, Replacement, Knee
Aged
Pain Measurement
Randomized Controlled Trials as Topic
Pain, Postoperative
Catheter insertion
adductor canal block
distal
business.industry
Nerve Block
General Medicine
Middle Aged
Surgery
Analgesics, Opioid
proximal
medicine.anatomical_structure
030220 oncology & carcinogenesis
Meta-analysis
Female
business
Femoral Nerve
Systematic Review and Meta-Analysis
Research Article
Subjects
Details
- ISSN :
- 15365964 and 00257974
- Volume :
- 99
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi.dedup.....d6d41a4d5f67a416afa5b8bab4bacf65