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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 7
First page : ( 1421) Last page : ( 1424)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.01790.X

Femoral Nerve Block and Adductor Canal Block for Postoperative Analgesia of Total Knee Replacement, Comparative Study

Saeed Isra Hamed1,*, Jabbar Mohammed Asi1

1Department of Anesthesia, Al-Shaheed Ghazi Al-Hariri Hospital, Baghdad Medical City, Baghdad, Iraq

*Corresponding Author: Isra Hamed Saeed, Department of Anesthesia, Al-Shaheed Ghazi Al-Hariri Hospital, Baghdad Medical City, Baghdad, Iraq, Email: israhamed2010@yahoo.com

Online published on 19 August, 2019.

Abstract

Objective

assessment of femoral nerve block (FNB) and adductor canal block (ACB) for postoperative analgesia of total knee replacement

Method

Forty patients aged from 50 to 68 years old were involved in this study, all the patients received general anesthesia. After completion of surgery and fully awakening from the anesthesia, the patients were randomly divided into two equal groups (20 patients in each group). First group received FNB, and second group received ACB.

Results

There was no significant no age, gender, and BMI between both groups, at 1, 6, 12, and 18 hours the Quadriceps muscle weakness was significantly higher in FNB group.

Conclusions

ACB provides comparable analgesic efficacy and facilitates earlier mobilization by sparing quadriceps strength compared with FNB.

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Keywords

Knee replacement, femoral nerve block, adductor canal block, analgesia, Quadriceps muscle weakness.

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