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Adductor canal block is similar to femoral nerve block for the quality of rehabilitation after arthroscopic partial meniscectomy.
Xin, Juan; Zhang, Yabing; Li, Qian; Cheng, Xu; Lin, YanJun; Liu, Bin; Zhou, Leng.
Afiliação
  • Xin J; Department of Anesthesiology, West China Hospital of Sichuan University, No.37 Wai Nan Guo Xue Xiang, Chengdu, 610041, Sichuan, People's Republic of China.
  • Zhang Y; Department of Anesthesiology, West China Hospital of Sichuan University, No.37 Wai Nan Guo Xue Xiang, Chengdu, 610041, Sichuan, People's Republic of China.
  • Li Q; Department of Anesthesiology, West China Hospital of Sichuan University, No.37 Wai Nan Guo Xue Xiang, Chengdu, 610041, Sichuan, People's Republic of China.
  • Cheng X; Department of Anesthesiology, West China Hospital of Sichuan University, No.37 Wai Nan Guo Xue Xiang, Chengdu, 610041, Sichuan, People's Republic of China.
  • Lin Y; Department of Anesthesiology, West China Hospital of Sichuan University, No.37 Wai Nan Guo Xue Xiang, Chengdu, 610041, Sichuan, People's Republic of China.
  • Liu B; Department of Anesthesiology, West China Hospital of Sichuan University, No.37 Wai Nan Guo Xue Xiang, Chengdu, 610041, Sichuan, People's Republic of China. liubinhxyy@163.com.
  • Zhou L; Department of Anesthesiology, West China Hospital of Sichuan University, No.37 Wai Nan Guo Xue Xiang, Chengdu, 610041, Sichuan, People's Republic of China. zhoulenghx@foxmail.com.
Knee Surg Sports Traumatol Arthrosc ; 28(7): 2334-2342, 2020 Jul.
Article em En | MEDLINE | ID: mdl-31781802
ABSTRACT

PURPOSE:

Adductor canal block (ACB) provides postoperative pain relief as effectively as femoral nerve block (FNB) does, and it preserves the strength of the quadriceps femoris. However, its effect on rehabilitation after arthroscopic partial meniscectomy has not been reported. The purpose of this study was to determine the effect of pre-operative ACB and FNB on the quality of rehabilitation after arthroscopic partial meniscectomy.

METHODS:

A total of 150 patients undergoing arthroscopic partial meniscectomy were randomly allocated to the FNB group (receiving 0.3% ropivacaine 30 ml at the thighroot-femoral nerve), the ACB group (receiving 0.3% ropivacaine 30 ml at mid-thigh adductor canal), or the control group. The primary outcome was the Hospital for Special Surgery (HSS) knee score on the 30th postoperative day.

RESULTS:

The HSS knee score of the ACB group on the 30th day after the operation was significantly higher than those of the FNB and control groups (88.6 ± 5.3 vs. 85.3 ± 6.9 and 81.2 ± 5.9, respectively; P < 0.05). Both the ACB and FNB groups showed excellent rehabilitation, indicating similar rehabilitation quality for both treatments.

CONCLUSION:

ACB is similar to FNB concerning the quality of rehabilitation and pain relief after arthroscopic partial meniscectomy, while ACB has little effect on the strength of the quadriceps femoris. LEVEL OF EVIDENCE I TRIAL REGISTRATAION This trial was registered in the Chinese Clinical Trial Registry (ChiCTR-INC-16008346).
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroscopia / Coxa da Perna / Artroplastia do Joelho / Músculo Quadríceps / Nervo Femoral / Meniscectomia / Bloqueio Nervoso Tipo de estudo: Clinical_trials Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Knee Surg Sports Traumatol Arthrosc Assunto da revista: MEDICINA ESPORTIVA / TRAUMATOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de publicação: ALEMANHA / ALEMANIA / DE / DEUSTCHLAND / GERMANY

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroscopia / Coxa da Perna / Artroplastia do Joelho / Músculo Quadríceps / Nervo Femoral / Meniscectomia / Bloqueio Nervoso Tipo de estudo: Clinical_trials Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Knee Surg Sports Traumatol Arthrosc Assunto da revista: MEDICINA ESPORTIVA / TRAUMATOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de publicação: ALEMANHA / ALEMANIA / DE / DEUSTCHLAND / GERMANY