Femoral Nerve Block versus Adductor Canal Block for Analgesia after Total Knee Arthroplasty
고인준, 최영준, 김만수, 고현정, 강민성, 인용,
소속 상세정보
고인준 ( Koh In-Jun )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Orthopaedic Surgery
최영준 ( Choi Young-Jun )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Orthopaedic Surgery
김만수 ( Kim Man-Soo )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Orthopaedic Surgery
고현정 ( Koh Hyun-Jung )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Anesthesia and Pain Medicine
강민성 ( Kang Min-Sung )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Orthopaedic Surgery
인용 ( In Yong )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Orthopaedic Surgery
KMID : 0359620170290020087
Abstract
Inadequate pain management after total knee arthroplasty (TKA) impedes recovery, increases the risk of postoperative complications, and results in patient dissatisfaction. Although the preemptive use of multimodal measures is currently considered the principle of pain management after TKA, no gold standard pain management protocol has been established. Peripheral nerve blocks have been used as part of a contemporary multimodal approach to pain control after TKA. Femoral nerve block (FNB) has excellent postoperative analgesia and is now a commonly used analgesic modality for TKA pain control. However, FNB leads to quadriceps muscle weakness, which impairs early mobilization and increases the risk of postoperative falls. In this context, emerging evidence suggests that adductor canal block (ACB) facilitates postoperative rehabilitation compared with FNB because it primarily provides a sensory nerve block with sparing of quadriceps strength. However, whether ACB is more appropriate for contemporary pain management after TKA remains controversial. The objective of this study was to review and summarize recent studies regarding practical issues for ACB and comparisons of analgesic efficacy and functional recovery between ACB and FNB in patients who have undergone TKA.
키워드
Knee; Arthroplasty; Pain management; Nerve block; Saphenous nerve; Femoral nerve
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