Journal ArticleDOI
Adductor canal block versus femoral nerve block and quadriceps strength: a randomized, double-blind, placebo-controlled, crossover study in healthy volunteers.
Pia Jæger,Zbigniew J. K. Nielsen,Maria H. Henningsen,Karen Lisa Hilsted,Ole Mathiesen,Jørgen B. Dahl +5 more
Reads0
Chats0
TLDR
ACB preserved quadriceps strength and ability to ambulate better than FNB did, and future studies are needed to compare the analgesic effect of the ACB with the FNB in a clinical setting.Abstract:
Background:The authors hypothesized that the adductor canal block (ACB), a predominant sensory blockade, reduces quadriceps strength compared with placebo (primary endpoint, area under the curve, 0.5–6 h), but less than the femoral nerve block (FNB; secondary endpoint). Other secondary endpoints werread more
Citations
More filters
Journal ArticleDOI
Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS ®) Society recommendations
Thomas Wainwright,Mike Gill,David A. McDonald,Robert Middleton,Robert Middleton,Mike R. Reed,Opinder Sahota,Piers Yates,Olle Ljungqvist +8 more
TL;DR: There is insufficient evidence to recommend that one surgical technique (type of approach, use of a minimally invasive technique, prosthesis choice, or use of computer-assisted surgery) over another will independently effect achievement of discharge criteria.
Journal ArticleDOI
Adductor canal block versus femoral nerve block for analgesia after total knee arthroplasty: a randomized, double-blind study.
Pia Jaeger,Dusanka Zaric,J. S. Fomsgaard,Karen Lisa Hilsted,Jens Bjerregaard,Jens Gyrn,Ole Mathiesen,Tommy K. Larsen,Jørgen B. Dahl +8 more
TL;DR: Adductor canal block preserved quadriceps muscle strength better than FNB, without a significant difference in postoperative pain.
Journal ArticleDOI
Lower extremity regional anesthesia: essentials of our current understanding.
TL;DR: The current review article strives to summarize the pertinent anatomy of the lumbar and sacral plexuses, discuss the optimal approaches and techniques for lower limb regional anesthesia, and identify informational gaps pertaining to outcomes, which warrant further investigation.
Journal ArticleDOI
Effect of adductor canal block versus femoral nerve block on quadriceps strength, mobilization, and pain after total knee arthroplasty: a randomized, blinded study
Ulrik Grevstad,Ole Mathiesen,Laura Staun Valentiner,Pia Jaeger,Karen Lisa Hilsted,Jørgen B. Dahl +5 more
TL;DR: Adductor canal block provides a clinically relevant and statistically significant increase in quadriceps muscle strength for patients in severe pain after TKA.
Journal ArticleDOI
Pain after knee arthroplasty: an unresolved issue.
TL;DR: This narrative review offers a clear overview of pain mechanism after knee arthroplasty and an understanding on how multimodal pain management can reduce the intensity and duration of pain after knee TKA.
References
More filters
Book
Gray's Anatomy : The Anatomical Basis of Clinical Practice
TL;DR: The Anatomical Nomenclature of the Nervous System and Systemic Overview of the Endocrine System, Principles of Hormone Production and Secretion and Development of the Cardiovascular and Lymphatic Systems are presented.
Journal ArticleDOI
Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: a systematic review.
TL;DR: To examine the current evidence regarding the reliability and validity of hand‐held dynamometry for assessment of muscle strength in the clinical setting, a large number of studies using this method have found it to be reliable.
Journal ArticleDOI
Femoral nerve block improves analgesia outcomes after total knee arthroplasty: a meta-analysis of randomized controlled trials.
TL;DR: SSFNB or continuous FNB (plus PCA) was found to be superior to PCA alone for postoperative analgesia for patients having total knee arthroplasty.
Journal ArticleDOI
Clinical assessment of hip strength using a hand-held dynamometer is reliable
TL;DR: Standardized strength assessment procedures of hip ABD, ER, IR, FLEX, with test–retest measurement variation below 5%, hip ADD below 6% and hip EXT below 8%, make it possible to determine even small changes in hip strength at the individual level.
Journal ArticleDOI
The Association Between Lower Extremity Continuous Peripheral Nerve Blocks and Patient Falls After Knee and Hip Arthroplasty
TL;DR: There is a causal relationship between CPNB and the risk of falling after knee and hip arthroplasty, and 3 previously published, randomized, triple-masked, placebo-controlled studies of CPNBs involving the femoral nerve suggest this.