الفهرس | Only 14 pages are availabe for public view |
Abstract This study was performed to compare the efficacy of continuous adductor canal block versus continuous femoral nerve block regarding opioids consumption for post-operative analgesia after total knee arthroplasty. This study was achieved on 36 patients (19 males and 17 females) who were scheduled for elective unilateral total knee arthroplasty. The study included the patients of the age group between 54 to 74. After patients were assessed through history, examination and investigation, the procedures were explained to the patients including NRS, PCA, Quadriceps strength and Mobilization ability. Patients were randomly allocated on alternative basis to two equal groups, 18 patients for each group. All patients were given spinal anesthesia then Group1: patients received continuous femoral nerve block. Group2: patients received continuous adductor nerve block. Comparison between the two groups was done regarding postoperative data including NRS, PCA, Quadriceps strength and Mobilization ability. The current study showed that there is no statistically significant difference between both groups regarding total morphine consumption. The mean (±SD) total PCA morphine consumption in the first 48 postoperative hours was reduced in the continuous femoral nerve block group (39.4± 6.9) when compared with the continuous adductor canal block group (41.5±5.5), without a statistically significant difference between the two groups. , The % of reduction in 48 hours postoperative morphine consumption within the groups was 5% in favor to the continuous femoral nerve block group, with no statistically significant difference. |