Evidence map›Paper›PMID 41116173›Full record

Trial reportBMC anesthesiology2025

Effects of ultrasound-guided adductor canal block at different volumes on postoperative analgesia management in patients undergoing total knee arthroplasty: a prospective clinical study.

Mursel Ekinci, Ahmet Kaciroglu, Mustafa Dikici, Merih Yildiz Eglen, Fatih Bayrak, İrem Aydogmus, Erkan Cem Çelik, Bahadir Ciftci

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06084403 (The Efficacy of Different Volumes for Ultrasound-Guided Adductor Canal Block for Postoperative Analgesia Management After Total Knee Arthroplasty Surgery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06084403 nacompletednot on this map

The Efficacy of Different Volumes for Ultrasound-Guided Adductor Canal Block for Postoperative Analgesia Management After Total Knee Arthroplasty Surgery

TypeinterventionalSponsorBursa City HospitalRan2023 to 2024Enrolled90ConditionsKnee Disease, Knee Deformity, Knee Pain Chronic, Knee ArthropathyArms20 ml volume adductor canal block, 30 ml volume adductor canal block, 40 ml volume adductor canal block
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Mursel EkinciDepartment of Anesthesiology and Reanimation, Sciences Bursa Faculty of Medicine, University of Health, Bursa City Hospital, Bursa, 16110, Turkey. drmurselekinci@gmail.com.ORCID http://orcid.org/0000-0002-5580-5960
Ahmet KacirogluDepartment of Anesthesiology and Reanimation, Sciences Bursa Faculty of Medicine, University of Health, Bursa City Hospital, Bursa, 16110, Turkey.
Mustafa DikiciDepartment of Anesthesiology and Reanimation, Sciences Bursa Faculty of Medicine, University of Health, Bursa City Hospital, Bursa, 16110, Turkey.
Merih Yildiz EglenDepartment of Anesthesiology and Reanimation, Sciences Bursa Faculty of Medicine, University of Health, Bursa City Hospital, Bursa, 16110, Turkey.
Fatih BayrakDepartment of Anesthesiology and Reanimation, Sciences Bursa Faculty of Medicine, University of Health, Bursa City Hospital, Bursa, 16110, Turkey.
İrem AydogmusDepartment of Anesthesiology and Reanimation, Sciences Bursa Faculty of Medicine, University of Health, Bursa City Hospital, Bursa, 16110, Turkey.
Erkan Cem ÇelikDeparment of Anesthesiology and Reanimation, Medical Faculty of Atatürk University, Erzurum, Turkey.
Bahadir CiftciDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Istanbul Medipol University, TR34070, Bagcilar, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany different analgesia techniques are performed in knee arthroplasty. Adductor canal block is one of the analgesia techniques following knee arthroplasty. The aim of this study was to evaluate the effectiveness of adductor canal block performed at different volumes (20 ml, 30 ml, 40 ml) for postoperative analgesia management in patients undergoing total knee arthroplasty.

methodsThis single-center prospective randomized controlled study included 90 patients, aged between 18 and 65, with ASA classification I-II-III, who were scheduled for total knee arthroplasty surgery under spinal anesthesia. Patients were randomized into three groups: Group 20, group 30 and group 40. Postoperative pain, opioid consumption, and motor block were evaluated. Statistical analysis was conducted to compare the primary and secondary outcomes between groups.

resultsThe difference in static NRS scores at all times except the 8th hour and in dynamic NRS scores at all times was found to be statistically significant. Group 40 had significantly lower opioid consumption and additional analgesic requirements compared to Group 20, but no statistically significant difference was found compared to Group 30. Group 40 had a statistically significantly higher rate of motor block in the first 8 h compared to Groups 20 and 30. No statistically significant difference was found between Groups 20 and 30 in terms of motor block at all times.

conclusionsThe findings of our study showed that the optimal volume of adductor canal block to provide effective analgesia and preserve muscle strength functions in the postoperative period after total knee arthroplasty was 30 ml. CLINICAL TRIAL REGISTRATION NUMBER: NCT06084403.

Indexed as

Arthroplasty, Replacement, KneeNerve BlockPostoperative PainUltrasonography, InterventionalAdultAgedAnalgesics, OpioidFemaleHumansMaleMiddle AgedProspective StudiesYoung AdultAnalgesics, OpioidAnesthesiaPostoperative analgesiaRegional anesthesiaTotal knee arthroplastyUltrasonography

Identifiers

PMID41116173
PMCPMC12536519

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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.