ArticleIndian journal of anaesthesia2025
Analgesic efficacy of ultrasound-guided genicular nerve block in combination with adductor canal block in total knee arthroplasty: A randomised, double-blind, placebo-controlled trial.
Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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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
1 citing paper in PubMed.
- Ultrasound-Guided Genicular Nerve Block: Novel Clinical Role for Postoperative Knee Replacement Surgery Pain Management.Current pain and headache reports · 2026Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Distal motor-sparing nerve blocks are increasingly popular for knee arthroplasty pain. Genicular nerve ablation, initially proposed for knee osteoarthritis, is also currently used for postoperative pain management. We hypothesised that superior postoperative analgesia can be achieved by combining genicular nerve block with adductor canal block (ACB) by reducing 24-hour opioid consumption. Methods: Fifty patients were assigned to Group I (ultrasound-guided ACB with 20 mL of 0.25% ropivacaine and 4 mg dexamethasone and ultrasound-guided superomedial (SM), superolateral (SL), and inferomedial (IM) GNB with 5 mL of 0.25% ropivacaine and 2 mg of dexamethasone at each location and Group II (ultrasound-guided ACB with 20 mL of 0.25% ropivacaine, 4 mg dexamethasone, and ultrasound-guided three-location GNB with 15 mL of 0.9% saline). The outcomes measured were 24-hour morphine consumption, pain scores over 24 hours, and the time to rescue analgesia. The continuous data were analysed using an unpaired Results: The mean total consumption of morphine (mg) was 5.96 [standard deviation (SD): 2.73] in Group I and 15.52 (SD: 2.67) in Group II, with a mean difference of 9.56 [95% confidence interval (CI): -4.66, -2.39] ( Conclusion: Combining genicular block with ACB provided superior postoperative analgesia and reduced opioid consumption compared to ACB alone.
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