Evidence map›Paper›PMID 28545172›Full record

ReviewKnee surgery & related research2017

Femoral Nerve Block versus Adductor Canal Block for Analgesia after Total Knee Arthroplasty.

In Jun Koh, Young Jun Choi, Man Soo Kim, Hyun Jung Koh, Min Sung Kang, Yong In

2 registry-linked trialsOpen access · diamondAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Knee surgery & related research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 36 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 5 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT03645954 nacompletednot on this mapstarted 2018, after this paper: background citation

Femoral Triangle and Adductor Canal Blocks Versus Femoral Nerve Block for Total Knee Arthroplasty: Postoperative Pain Management and Functional Recovery

TypeinterventionalSponsorLithuanian University of Health SciencesRan2018 to 2019Enrolled80ConditionsTotal Knee ArthroplastyArmsFemoral Nerve Block, Femoral Triangle & Adductor Canal Blocks
NCT04264481 nacompletednot on this mapstarted 2019, after this paper: background citation

Minimally Invasive Knee Osteoarthritis Pain Control Via Adductor Canal Block Versus Intra-articular Steroid and Lignocaine Injection : a Single-blinded Controlled Trial

TypeinterventionalSponsorUniversity of MalayaRan2019 to 2020Enrolled64ConditionsKnee OsteoarthritisArmsAdductor Canal Block, Intra-Articular Steroid and Lignocaine Injection
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 5 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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  3. Perioperative non-opioid analgesia strategies after high tibial osteotomy: a systematic review of prospective studies.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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  11. [Effect of preoperative lower-limb muscle strength on perioperative blood loss and early outcomes in total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

In Jun KohDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, Seoul, Korea.
Young Jun ChoiDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, Seoul, Korea.
Man Soo KimDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, Seoul, Korea.
Hyun Jung KohDepartment of Anesthesia and Pain Medicine, Seoul St. Mary's Hospital, Seoul, Korea.
Min Sung KangDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, Seoul, Korea.
Yong InDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, Seoul, Korea.
Catholic University of Korea · KRSeoul St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inadequate pain management after total knee arthroplasty (TKA) impedes recovery, increases the risk of postoperative complications, and results in patient dissatisfaction. Although the preemptive use of multimodal measures is currently considered the principle of pain management after TKA, no gold standard pain management protocol has been established. Peripheral nerve blocks have been used as part of a contemporary multimodal approach to pain control after TKA. Femoral nerve block (FNB) has excellent postoperative analgesia and is now a commonly used analgesic modality for TKA pain control. However, FNB leads to quadriceps muscle weakness, which impairs early mobilization and increases the risk of postoperative falls. In this context, emerging evidence suggests that adductor canal block (ACB) facilitates postoperative rehabilitation compared with FNB because it primarily provides a sensory nerve block with sparing of quadriceps strength. However, whether ACB is more appropriate for contemporary pain management after TKA remains controversial. The objective of this study was to review and summarize recent studies regarding practical issues for ACB and comparisons of analgesic efficacy and functional recovery between ACB and FNB in patients who have undergone TKA.

Indexed as

ArthroplastyFemoral nerveKneeNerve blockPain managementSaphenous nerve

Identifiers

PMID28545172
PMCPMC5450580
OpenAlexW2617536740

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.