A Comparative Study between Ultrasound Guided Femoral Nerve Block versus Adductor Canal Block for Postoperative Pain Management after Knee Arthroplasty | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 1, January 2025 | ||||
| DOI: 10.58675/2682-339X.2855 | ||||
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| Authors | ||||
| Mohamed Zaky1; Ahmed El-Garhy1; Ibrahim Ibrahim2; Mohamed Shamloul1 | ||||
| 1Anesthesia, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| 2Clinical Pathology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: The most effective course of action for those with advanced joint disease is knee replacement, which offers the benefits of pain alleviation and better joint function. This research examined the impact of adductor canal block (ACB) and ultrasound-guided femoral nerve block (FNB) on postoperative pain after total knee replacement. Methods: 60 individuals of both sexes receiving total knee replacement surgery between the ages of 50 and 65 participated in this prospective, double-blind, controlled, randomized research. A 22-gauge 4-in needle was used to administer 20 cc of 0.5% bupivacaine to each patient in the FNB and ACB groups. Results: The visual analog scale was insignificantly different at 2h, 4h, 8h, 16h, and 24h between both groups (P>0.05). The FNB group experienced a significantly longer duration to complete than the ACB group (P Throughout all hours, the FNB group's grade of 0 was notably lower than that of the ACB group (P Conclusions: In total knee arthroplasty, both ultrasound guided FNB and ACB have comparable effect on postoperative pain management. ACB, on the other hand, was linked to a stronger quadriceps and a shorter uptime. | ||||
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