Evidence map›Paper›PMID 37194219›Full record

Trial reportOrthopaedic surgery2023

Adductor Canal Block Combined with General Analgesia for Patients with Recurrent Patellar Dislocation Undergoing "3-in-1" Procedure Surgery: A Prospective Randomized Controlled Trial.

Yan Xiong, Duan Wang, Shu Li, Xuejie Li, Yanjun Lin, Jian Li, Qi Li

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 31% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 1 country.

Yan XiongDepartment of Orthopaedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, People's Republic of China.ORCID https://orcid.org/0000-0001-6130-5842
Duan WangDepartment of Orthopaedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Shu LiDepartment of Orthopaedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Xuejie LiDepartment of Anesthesiology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.
Yanjun LinDepartment of Anesthesiology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.
Jian LiDepartment of Orthopaedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Qi LiDepartment of Orthopaedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Sichuan University · CN

Funding

National Natural Science Foundation of China 81802176National Natural Science Foundation of China 81873500
6 · The paper itself

Abstract

objectivePatellar dislocation is a common injury in sports medicine. While surgical treatment is an important option, pain is severe after surgery. This study compared the analgesic effect and early rehabilitation quality between adductor canal block combined with general analgesia (ACB + GA) and single general analgesia (SGA) after recurrent patellar dislocation (RPD) for "3-in-1" procedure surgery.

methodsFrom July 2018 to January 2020, a prospective randomized controlled trial was conducted in analgesia management after RPD for "3-in-1" procedure surgery. The 40 patients in the experimental group received ACB (0.3% ropivacaine 30 mL) + GA, while the 38 patients in the control group received SGA. Patients in both groups received "3-in-1" procedure surgery, standardized anesthesia, and analgesia during hospitalization. The outcomes included the visual analog scale (VAS), quadriceps strength, Inpatient Satisfaction Questionnaire (IPSQ), Lysholm scores, and Kujala scores. Total rescue analgesic consumption and adverse events were also recorded. One-way analysis of variance (ANOVA) was used to compare continuous variables between groups and chi-square or Fisher's exact tests were used to compare count data. Nonparametric Kruskal-Wallis H tests evaluated ranked data.

resultsNo significant differences in resting VAS scores were observed at 8, 12, and 24 h postoperatively. However, the flexion and moving VAS scores of the ACB + GA group were significantly lower than those of the SGA group (p < 0.05). Meanwhile, the first triggering of rescue analgesics was advanced in the SGA group (p < 0.0001), and the dose of opioid analgesics was significantly higher (p < 0.0001). The quadriceps strength of the ACB + GA group was higher than that of the SGA group at 8 h postoperatively. The IPSQ of the ACB + GA group was significantly higher 24 h postoperatively. We observed no significant differences in Lysholm and Kujala scores between the two groups at 3 months after surgery.

conclusionsEarly analgesia management of ACB + GA showed excellent analgesia effectiveness and a positive hospitalization experience for RPD patients undergoing "3-in-1" procedure surgery. Moreover, this management was good for early rehabilitation.

Indexed as

AnalgesiaAnalgesics, OpioidAnesthetics, LocalPatellar DislocationRopivacaineAdolescentAdultArthroplasty, Replacement, KneeFemaleHumansMaleMiddle AgedNerve BlockPostoperative PainProspective StudiesTreatment OutcomeAnalgesics, OpioidAnesthetics, LocalRopivacaineAdductor Canal BlockAnalgesiaPatellar DislocationRopivacaineSaphenous Nerve

Identifiers

PMID37194219
PMCPMC10235176
OpenAlexW4376872357

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.