A Comparison of Single Shot Adductor Canal Block Versus Femoral Nerve Catheter for Total Knee Arthroplasty

Abstract The aim of this study was to compare perioperative analgesia provided by single-injection adductor canal block (ACB) to continuous femoral nerve catheter (FNC) when used in a multimodal pain protocol for total knee arthroplasty (TKA). A retrospective cohort study compared outcome data for 1...

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Bibliographic Details
Published in:The Journal of arthroplasty 2015-09, Vol.30 (9), p.68-71
Main Authors: Ludwigson, Jordan L., BS, Tillmans, Samuel D., BS, Galgon, Richard E., MD, Chambers, Tamara A., RN, MSN, Heiner, John P., MD, Schroeder, Kristopher M., MD
Format: Article
Language:English
Subjects:
Aged
analgesia
Analgesia - methods
anesthesiology
Arthroplasty, Replacement, Knee - methods
Catheterization
Catheters
Female
Femoral Nerve - drug effects
Femoral Nerve - physiology
Humans
Length of Stay
Male
Middle Aged
Muscle, Skeletal - pathology
Nerve Block - methods
Orthopedics
pain
Pain, Postoperative - prevention & control
Patient Discharge
Perioperative Period
physical therapy
Retrospective Studies
total knee arthroplasty
Treatment Outcome
Walking
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Summary:Abstract The aim of this study was to compare perioperative analgesia provided by single-injection adductor canal block (ACB) to continuous femoral nerve catheter (FNC) when used in a multimodal pain protocol for total knee arthroplasty (TKA). A retrospective cohort study compared outcome data for 148 patients receiving a single-injection ACB to 149 patients receiving an FNC. The mean length of stay (LOS) in the ACB group was 2.67 (± 0.56) and 3.01 days (± 0.57) in the FNC group ( P < 0.0001). The median ambulatory distances for the adductor group were further than the femoral group for postoperative days 1 ( P < 0.0001) and 2 ( P = 0.01). Single-injection ACB offered similar pain control and earlier discharge compared to continuous FNC in patients undergoing TKA.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2015.03.044