Comparison of adductor canal block with periarticular infiltration analgesia in total knee arthroplasty
| Autor: | Qiang Li, Ren-fu Quan, Fang-bing Zhu, Yu-Hang Zhang, Zhi-Jin Zhang, Jun-Sheng Liu, Lu-kai Zhang |
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| Rok vydání: | 2019 |
| Předmět: |
Male
total knee arthroplasty Knee Joint Adductor canal Visual analogue scale medicine.medical_treatment Thigh Cochrane Library Quadriceps Muscle law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Anesthesia Conduction law medicine Humans Pain Management Muscle Strength 030212 general & internal medicine Arthroplasty Replacement Knee Randomized Controlled Trials as Topic Pain Postoperative adductor canal block business.industry Nerve Block analgesia General Medicine Middle Aged Arthroplasty meta-analysis Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Meta-analysis Anesthesia Infiltration analgesia Female periarticular infiltration analgesia business Systematic Review and Meta-Analysis Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Background: Total knee arthroplasty (TKA) is accompanied by moderate to severe postoperative pain. Multimodal analgesia, such as femoral nerve block, periarticular infiltration analgesia (PIA), and patient-controlled intravenous analgesia, have been used for postoperative analgesia. Recently, randomized controlled trials have compared the efficacy of the adductor canal block (ACB) and the PIA in patients undergoing TKA. However, there is no definite answer as to the efficacy and safety of the ACB compared with the PIA. Method: Randomized controlled trials about relevant studies were searched from PubMed (1996 to May 2019), Embase (1980 to May 2019), and Cochrane Library (CENTRAL, May 2019). Five studies which compared the ACB with the PIA methods were included in our meta-analysis. Results: Five studies containing 413 patients met the inclusion criteria. There were no significant differences between the ACB and the PIA group in visual analog scale (VAS) score at rest (P = .14) and movement (P = .18), quadriceps muscle strength (P = .95), complications (P = .78), length of stay (LOS) (P = .54), and time up and go (TUG) test (P = .09), While patients in the ACB group had less equivalent morphine consumption (P |
| Databáze: | OpenAIRE |
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