Evidence map›Paper›PMID 41794673›Full record

Trial reportBMC anesthesiology2026

Analgesic efficacy of blocking nerve to vastus lateralis muscle versus lateral femoral cutaneous nerve after knee surgeries: a randomized trial.

Sherif Kamal Arafa, Wafaa Madhy Abdelwahed, Ahmed Shama, Ahmed Mhamed Elattar, Mahmoud Mohammed Mustafa

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06809842 (Analgesic Efficacy of Blocking Nerve to Vastus Lateralis Muscle Versus Lateral Femoral Cutaneous Nerve After Knee Surgeries), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06809842 narecruitingnot on this map

Analgesic Efficacy of Blocking Nerve to Vastus Lateralis Muscle Versus Lateral Femoral Cutaneous Nerve After Knee Surgeries: A Randomized Trial

TypeinterventionalSponsorKafrelsheikh UniversityRan2025 to 2025Enrolled80ConditionsAnalgesia, Vastus Lateralis Nerve Block, Lateral Femoral Cutaneous Nerve Block, Knee SurgeriesArmsVastus lateralis nerve block, Lateral femoral cutaneous nerve block
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Sherif Kamal ArafaAnesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Kafr Elsheikh University, Kafr Elsheikh, 33511, Egypt. Sherifhafez1980@gmail.com.
Wafaa Madhy AbdelwahedAnesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Ahmed ShamaAnesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Ahmed Mhamed ElattarOrthopedic Consultant at Al-Ahrar Teaching Hospital, General Organization for Teaching Hospitals and Institutes (GOTHI), Cairo, Egypt.
Mahmoud Mohammed MustafaAnesthesia, Faculty of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pain is common following knee surgeries. Effective pain management is crucial for speeding up recovery, improving satisfaction for patients, and reducing the risk of complications. This research aimed to assess analgesic effectiveness and functional outcomes of blocking the nerve to the vastus lateralis (NVL) muscle versus the lateral femoral cutaneous nerve (LFCN).

methodsThis randomized, double-blind study was carried out on 80 patients aged ≥ 18 years, both sexes, who underwent knee surgeries under spinal anesthesia using 15 mg of bupivacaine 0.5%. Patients were allocated to two equal groups: Group VL was given the NVL block, and Group LFCN received the LFCN block. Blocks were performed at the surgical ending under ultrasound guidance with 5 ml of 0.5% bupivacaine. The primary outcome was the numerical rating score.

resultsTime of onset of sensory block and time required to achieve the maximum sensory block, pain scores at 4, 6, and 12 h postoperatively, and total morphine consumption were significantly lower, while time to the first request for rescue analgesia was significantly postponed in Group NVL compared to Group LFCN (P < 0.001). Patient satisfaction, side effects, and hospital stay lengths were similar between both groups, with no cases of respiratory depression or local anesthetic toxicity.

conclusionsThe NVL block may serve as a potential alternative to the LFCN block for postoperative analgesia in knee surgeries, as both techniques provided comparable postoperative pain control and were safe and well tolerated, while the faster sensory onset and reduced opioid consumption associated with the NVL block did not translate into a meaningful improvement in pain control. CLINICAL TRIALS REGISTRATION: Registered at clinicaltrials.gov (ID: NCT06809842, Date of registration: 30/01/2025, URL: https://clinicaltrials.gov/study/NCT06809842?cond=NCT06809842&rank=1 ).

Indexed as

Femoral NerveKneeNerve BlockPostoperative PainQuadriceps MuscleAdultAgedAnesthetics, LocalBupivacaineDouble-Blind MethodFemaleHumansMaleMiddle AgedPain MeasurementPatient SatisfactionAnesthetics, LocalBupivacaineAnalgesiaKnee surgeryLateral femoral cutaneous nerveSatisfactionVastus lateralis

Identifiers

PMID41794673
PMCPMC12967003

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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.