Evidence map›Paper›PMID 34956430›Full record

Trial reportPain research & management

Analgesic Impact of a Popliteal Plexus Block to Standard Adductor Canal Block in Arthroscopic Anterior Cruciate Ligament Reconstruction: A Randomized Blind Clinical Trial.

Atef Mahmoud, Maged Boules, Joseph Botros, Mohamed Mostafa, Safaa Ragab, Mohammed Alsaeid

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pain research & management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04020133 (Analgesic Effect of Adding Popliteal Plexus Block to Standard Saphenous Nerve Block in Patients Scheduled for Elective Arthroscopic Anterior Cruciate Ligament Reconstruction), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% 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.

NCT04020133 naunknown statusnot on this map

Analgesic Effect of Adding Popliteal Plexus Block to Standard Saphenous Nerve Block in Patients Scheduled for Elective Arthroscopic Anterior Cruciate Ligament Reconstruction : Randomized Observer Blind Clinical Trial

TypeinterventionalSponsorFayoum University HospitalRan2019 to 2022Enrolled58ConditionsPain, PostoperativeArmssaphenous nerve block, popliteal plexus block, Plain bupivacaine, 0.05 mg epinephrine
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
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  3. Article
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  5. Article
  6. A quadruple peripheral nerve block outside the OR for anterior cruciate ligament reconstruction reduces the OR occupancy time.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  7. Article
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 1 institution in 1 country.

Atef MahmoudFaculty of Medicine, Fayoum University, Fayoum, Egypt.ORCID https://orcid.org/0000-0003-2711-4772
Maged BoulesFaculty of Medicine, Fayoum University, Fayoum, Egypt.ORCID https://orcid.org/0000-0001-5979-1239
Joseph BotrosFaculty of Medicine, Fayoum University, Fayoum, Egypt.ORCID https://orcid.org/0000-0002-6098-238X
Mohamed MostafaFaculty of Medicine, Fayoum University, Fayoum, Egypt.ORCID https://orcid.org/0000-0002-3231-5432
Safaa RagabFaculty of Medicine, Fayoum University, Fayoum, Egypt.ORCID https://orcid.org/0000-0003-3259-1979
Mohammed AlsaeidFaculty of Medicine, Fayoum University, Fayoum, Egypt.ORCID https://orcid.org/0000-0002-1633-6102
Fayoum University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDamage to the anterior cruciate ligament (ACL) is crippling and often requires an arthroscopic outpatient surgery. Nevertheless, many patients experience severe pain during the first day after ACL reconstruction (ACLR). The adductor canal block (ACB) has yielded conflicting results for post-ACLR pain relief. This research investigated the effect of a supplemental popliteal plexus block on postoperative pain outcomes compared to a sole ACB.

methodsFollowing a randomized design, 60 cases scheduled for knee arthroscopy with ACLR using an ipsilateral hamstring graft were separated into two categories. Subjects in group A (

resultsWe found significant differences between the two groups. The time of the first analgesic request (TFR) was later for the combined ACB and PPB (median 8 h) compared to the ACB only group (median 0.5 h). Morphine consumption was lower for patients who received combined ACB and PPB (median 12 mg) compared to ACB only (median 30 mg). The number of the requested doses was lower for the combined ACB and PPB group (median 3 doses) compared to the ACB only group (median 7 doses).

conclusionsThe addition of PPB to ACB was associated with improved analgesia and a reduced need for opioid-based sedatives following ACLR with an ipsilateral hamstring graft (https://clinicaltrials.gov/ct2/show/NCT04020133).

Indexed as

Anesthesia, ConductionAnterior Cruciate Ligament ReconstructionNerve BlockAnalgesicsAnalgesics, OpioidAnesthetics, LocalHumansPostoperative PainAnalgesicsAnalgesics, OpioidAnesthetics, Local

Identifiers

PMID34956430
PMCPMC8709743
OpenAlexW4200341080

What OpenQuestion holds

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LicenceCC BY
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.