ArticleIrish journal of medical science2018
Adductor canal block in combination with posterior capsular infiltration on the pain control after TKA.
Article in Irish journal of medical science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 5 of them syntheses that pooled it.
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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.
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Who cites it
10 citing papers in PubMed, 5 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Pooled it
- Combined application of adductor canal block and local infiltration anesthesia in primary total knee arthroplasty: an updated meta-analysis of randomized controlled trials.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Adductor canal block combined with local infiltration analgesia versus isolated adductor canal block in reducing pain and opioid consumption after total knee arthroplasty: a systematic review and meta-analysis.The Journal of international medical research · 2020Pooled it
- Dose adductor canal block combined with local infiltration analgesia has a synergistic effect than adductor canal block alone in total knee arthroplasty: a meta-analysis and systematic review.Journal of orthopaedic surgery and research · 2019Pooled it
- Pooled it
- No superior method for analgesia after total knee arthroplasty: randomised controlled comparison of adductor canal block combined with iPACK block versus posterior capsule block.Archives of orthopaedic and trauma surgery · 2025Trial
- Comparison of Efficacy of Adductor Canal Block, Local Infiltration Analgesia and Both Combined in Postoperative Pain Management After Total Knee Arthroplasty: A Randomized Controlled Trial.Indian journal of orthopaedics · 2021Article
- A prospective comparative study of local infiltration versus adductor block versus combined use of the two techniques following knee arthroplasty.Arthroplasty (London, England) · 2020Article
- Opioid-Free Total Knee Arthroplasty? Local Infiltration Analgesia Plus Multimodal Blood-Loss Prevention Make it Possible.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2019Article
- Efficacy of adductor canal block protocol implementation in a multimodal pain management protocol for total knee arthroplasty.Journal of clinical orthopaedics and traumaArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAdductor canal block (ACB) and local infiltration anesthesia (LIA) are both widely accepted techniques for postoperative pain control without quadriceps weakness after total knee arthroplasty (TKA). However, the above techniques are insufficient in efficacy or duration.
aimsThe aim of our study was to address whether ACB plus posterior capsular infiltration (PCI) result in improved analgesia compared with ACB or LIA in patients underwent TKA during 48 h after operation.
methodsSixty patients were included: ACB group (group A, ACB with 0.375% ropivacaine 30 ml, n = 20), ACB + PCI group (group B, ACB same as group A, PCI with 0.2% ropivacaine 50 ml, n = 20), LIA group (group C, local infiltration with 0.2% ropivacaine 100 ml, n = 20). VAS pain scores, rescue analgesic tramadol consumption, nausea and vomiting occurrence, and patient satisfaction were recorded at 4, 8, 24, and 48 h post-operation.
resultsGroup B, versus group A, had lower pain scores (at rest and during mobilization) at 4 to 8 h post-operation (P < 0.017). As compared with group C, only at 24 h post-operation, group B had statistically decreased rest and active pain scores (p = 0.016 and 0.014, respectively). There were no statistical differences in total tramadol consumption and nausea and vomiting occurrence among the three groups. However, there was improved patient satisfaction in group B.
conclusionsOverall, as compared with ACB or LIA, ACB plus PCI appeared to provide more ideal analgesia and patient satisfaction in the first 24 h after operation.
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Registered trials
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