Evidence map›Paper›PMID 26452678›Full record

SynthesisInternational orthopaedics2016

Adductor canal block provides better performance after total knee arthroplasty compared with femoral nerve block: a systematic review and meta-analysis.

Donghai Li, Zhouyuan Yang, Xiaowei Xie, Jinhai Zhao, Pengde Kang

3 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 52 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 5 pooled it
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03915522 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Adductor Canal Block in an Enhanced Recovery Program After Total Knee Arthroplasty

TypeinterventionalSponsorInstitut de Recerca Biomèdica de LleidaRan2018 to 2019Enrolled140ConditionsTotal Knee Arthroplasty, Knee OsteoarthritisArmsSingle adductor canal block, Simulated adductor canal block
NCT05956275 phase4completednot on this mapstarted 2020, after this paper: background citation

Comparison Between USG-Guided Infiltration Popliteal Artery Capsule Knee Block Versus Adductor Canal Block Application as Postoperative Analgesia in Total Knee Prosthesis Under General Anesthesia: Randomized Clinical Trial

TypeinterventionalSponsorSiirt Training and Research HospitalRan2020 to 2021Enrolled20ConditionsPostoperative PainArmsTramadol, Morfin
NCT06102811 nacompletednot on this mapstarted 2023, after this paper: background citation

Low Concentration Local Anesthesia Fascia Iliaca Block for Total Hip Arthroplasty

TypeinterventionalSponsorUniversity of TorontoRan2023 to 2025Enrolled60ConditionsArthroplasty, Replacement, HipArmsLow Concentration Local Anesthetic Fascia Iliaca Compartment Block, High Concentration Local Anesthetic Fascia Iliaca Compartment Block
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 5 syntheses or guidelines pooled it, 114 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Donghai LiDepartment of Orthopaedics, West China Hospital, Sichuan University, 37# Wainan Guoxue Road, Chengdu, Sichuan, 610041, People's Republic of China.
Zhouyuan YangDepartment of Orthopaedics, West China Hospital, Sichuan University, 37# Wainan Guoxue Road, Chengdu, Sichuan, 610041, People's Republic of China.
Xiaowei XieDepartment of Orthopaedics, West China Hospital, Sichuan University, 37# Wainan Guoxue Road, Chengdu, Sichuan, 610041, People's Republic of China.
Jinhai ZhaoDepartment of Orthopaedics, West China Hospital, Sichuan University, 37# Wainan Guoxue Road, Chengdu, Sichuan, 610041, People's Republic of China.
Pengde KangDepartment of Orthopaedics, West China Hospital, Sichuan University, 37# Wainan Guoxue Road, Chengdu, Sichuan, 610041, People's Republic of China. kangpd@163.com.
Sichuan University · CNWest China Hospital of Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe methods for pain control after total knee arthroplasty (TKA) vary and have been extensively studied in recent years. Femoral nerve block (FNB) is used as the standard method due to its effective pain control following TKA, but it may weaken the quadriceps strength. Adductor canal block (ACB) is a newly developing analgesic protocol with fast functional recovery and good pain control after TKA. A meta-analysis was conducted to try to find out if ACB is better than FNB in pain treatment and joint functional recovery after TKA.

methodsThe databases PubMed, Web of Science, Embase, and Cochrane Library were systematically searched. Of 66 records identified, eight randomised controlled trials (RCT) involving 434 patients (504 knees) were eligible for data extraction and meta-analysis according to criteria included.

resultsMeta-analysis showed that ACB can significantly decrease visual analogue scale (VAS) score at rest within eight hours (p < 0.001) and at 24 hours (p < 0.001) after operation compared to FNB after TKA, and improve quadriceps strength (p < 0.001) and mobilization ability (p < 0.001). However, the differences in VAS score at rest at 48 hours, VAS score with activity within two days after operation, opioid consumption, hip adductor strength, patient satisfaction, and tourniquet times were not significant between the two groups.

conclusionACB provide better ambulation ability, faster functional recovery and better pain control at rest after TKA compared to FNB. The use of ACB post TKA is worthy of being recommended to replace FNB as a standard analgesic protocol for pain treatment after TKA.

Indexed as

Analgesics, OpioidArthroplasty, Replacement, KneeFemoral NerveHumansMuscle, SkeletalNerve BlockPain ManagementPain MeasurementPostoperative PainAnalgesics, OpioidAdductor canal blockFemoral nerve blockMeta-analysisTotal knee arthroplasty

Identifiers

PMID26452678
OpenAlexW2195525959

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.