Regional anaesthesia for knee joint surgery – peripheral nerve blocks with minimal impact on motor function of the lower limb
Authors:
Ľ. Beňo
Authors place of work:
Klinika anesteziologie, perioperační a intenzivní medicíny, Fakulta zdravotnických studií, Univerzita J. E. Purkyně v Ústí nad Labem a Masarykova nemocnice v Ústí nad Labem
Published in the journal:
Anest. intenziv. Med., 29, 2018, č. 5, s. 265-268
Category:
Summary
This review describes the “femoral triangle” and “adductor canal” peripheral nerve blocks used for knee joint surgery. A significant advantage of these blockades is their preserving of the quadriceps motor function. This article shows how to distinguish the femoral triangle from the adductor canal and it explains the differences between them. It contains recent anatomical information from published cadaveric studies and it provides a simple guideline how to perform both techniques in clinical practice.
KEYWORDS
regional anaesthesia – peripheral nerve blocks – femoral triangle – adductor canal – quadriceps strength preservation – postoperative analgesia
Zdroje
1. Bendtsen TF, Moriggl B, Chan V, Borglum J. The optimal analgesic block for total knee arthroplasty. Reg Anesth Pain Med. 2016;41:711–719.
2. Orduña Valls JM, Vallejo R, López Pais P, et al. Anatomic and ultrasonographic evaluation of the knee sensory innervation: a cadaveric study to determine anatomic targets in the treatment of chronic knee pain. Reg Anesth Pain Med. 2017;42:90–98.
3. Wong WY, Bjorn S, Strid JM, et al. Defining the location of the adductor canal using ultrasound. Reg Anesth Pain Med. 2017;42:241–245.
4. Burckett-St Laurant D, Peng P, Giron Arango L, et al. The nerves of the adductor canal and the innervation of the knee: an anatomic study. Reg Anesth Pain Med. 2016;41:321–327.
5. Grevstad U, Mathiesen O, Valentiner LS, et al. Effect of adductor canal block versus femoral nerve block on quadriceps strength, mobilization, and pain after total knee arthroplasty, a randomized, blinded study. Reg Anesth Pain Med. 2015;40:3–10.
6. Sorensen JK, Jæger P, Dahl JB, et al. The isolated effect of adductor canal block on quadriceps femoris muscle strength after total knee arthroplasty: a triple-blinded, randomized, placebo-controlled trial with individual patient analysis. Anesthesia and Analgesia. 2016;122:553–558.
7. Abdallah FW, Whelan DB, Chan VW, et al. Adductor canal block provides noninferior analgesia and superior quadriceps strength compared with femoral nerve block in anterior cruciate ligament reconstruction. Anesthesiology 2016;124:1053–1064.
8. Runge C, Moriggl B, Borglum J, Bendtsen TF. The spread of ultrasound-guided injectate from the adductor canal to the genicular branch of the posterior obturator nerve and the popliteal plexus: A cadaveric study. Reg Anesth Pain Med. 2017;42:725–730.
Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2018 Číslo 5
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