Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial

uysal, ali ihsan; kilinc, cem yalin; Akgun, Ulas; CANBEK, UMUT; Aydogan, Nevres Hurriyet

doi:10.1016/j.aott.2019.04.001

Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial

Umut CANBEK, (Muğla Sıtkı Koçman Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Muğla, Türkiye)

Ulaş AKGÜN, (Muğla Sıtkı Koçman Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Muğla, Türkiye)

Nevres Hürriyet AYDOĞAN, (Muğla Sıtkı Koçman Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Muğla, Türkiye)

Cem Yalın KILINÇ, (Muğla Sıtkı Koçman Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Muğla, Türkiye)

Ali İhsan UYSAL (Muğla Sıtkı Koçman Üniversitesi, Eğitim ve Araştırma Hastanesi Anestezi ve Reanimasyon Kliniği, Muğla, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

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Yıl: 2019 Cilt: 53 Sayı: 5 Sayfa Aralığı: 334 - 339 Metin Dili: İngilizce DOI: 10.1016/j.aott.2019.04.001 İndeks Tarihi: 07-04-2020

Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial

Öz:

Objective: The aim of this study was to compare single-shot adductor canal block and continuousinfusion adductor canal block techniques in total knee arthroplasty patients.Methods: We prospectively randomized 123 patients who were scheduled for unilateral primary totalknee arthroplasty surgery into single shot (n ¼ 60; mean age: 67.1 ± 6.9 years) and continuous (n ¼ 63;mean age: 66.9 ± 6.8 years) adductor canal block groups. Postoperative visual analog scale pain scores,need for additional opioids and functional results as; timed up and go test, the 30-s chair stand test, 5times sit-to-stand test, the 6-min walking test, the time to active straight leg raise, time to walkingupstairs, maximal flexion at the time of discharge, duration of stay in hospital were compared betweenthe two groups.Results: Pain scores were lower in the continuous adductor canal block group as compared to thesingle-shot adductor canal block group throughout the postoperative period (p ¼ 0.001). Rescue analgesia was required for 6 (10%) patients in the single shot group and for 1 (1.59%) patient in the continuousgroup (p ¼ 0.044). Patients in the continuous adductor canal block group displayed better functionalresults than the single-shot adductor canal block group with respect to active straight-leg rise time(25.52 ± 4.56 h vs 30.47 ± 8.07 h, p ¼ 0.001), 6-min walking test (74.52 ± 29.38 m vs 62.18 ± 33.32 m,p ¼ 0.035) and maximal knee flexion degree at discharge (104.92 ± 5.35 vs 98.5 ± 7.55, p ¼ 0.001).There was no significant difference between the two groups for other functional and ambulation scores.Conclusion: Pain control following total knee arthroplasty was found to be better in those patientstreated with continuous adductor canal block as compared to those treated with single-shot adductorcanal block. Patients treated with continuous adductor canal block also displayed better ambulation andfunctional recovery following total knee arthroplasty.

Anahtar Kelime:

Konular: Ortopedi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	CANBEK U, Akgun U, Aydogan N, kilinc c, uysal a (2019). Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. , 334 - 339. 10.1016/j.aott.2019.04.001
Chicago	CANBEK UMUT,Akgun Ulas,Aydogan Nevres Hurriyet,kilinc cem yalin,uysal ali ihsan Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. (2019): 334 - 339. 10.1016/j.aott.2019.04.001
MLA	CANBEK UMUT,Akgun Ulas,Aydogan Nevres Hurriyet,kilinc cem yalin,uysal ali ihsan Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. , 2019, ss.334 - 339. 10.1016/j.aott.2019.04.001
AMA	CANBEK U,Akgun U,Aydogan N,kilinc c,uysal a Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. . 2019; 334 - 339. 10.1016/j.aott.2019.04.001
Vancouver	CANBEK U,Akgun U,Aydogan N,kilinc c,uysal a Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. . 2019; 334 - 339. 10.1016/j.aott.2019.04.001
IEEE	CANBEK U,Akgun U,Aydogan N,kilinc c,uysal a "Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial." , ss.334 - 339, 2019. 10.1016/j.aott.2019.04.001
ISNAD	CANBEK, UMUT vd. "Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial". (2019), 334-339. https://doi.org/10.1016/j.aott.2019.04.001

APA	CANBEK U, Akgun U, Aydogan N, kilinc c, uysal a (2019). Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. Acta Orthopaedica et Traumatologica Turcica, 53(5), 334 - 339. 10.1016/j.aott.2019.04.001
Chicago	CANBEK UMUT,Akgun Ulas,Aydogan Nevres Hurriyet,kilinc cem yalin,uysal ali ihsan Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. Acta Orthopaedica et Traumatologica Turcica 53, no.5 (2019): 334 - 339. 10.1016/j.aott.2019.04.001
MLA	CANBEK UMUT,Akgun Ulas,Aydogan Nevres Hurriyet,kilinc cem yalin,uysal ali ihsan Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. Acta Orthopaedica et Traumatologica Turcica, vol.53, no.5, 2019, ss.334 - 339. 10.1016/j.aott.2019.04.001
AMA	CANBEK U,Akgun U,Aydogan N,kilinc c,uysal a Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. Acta Orthopaedica et Traumatologica Turcica. 2019; 53(5): 334 - 339. 10.1016/j.aott.2019.04.001
Vancouver	CANBEK U,Akgun U,Aydogan N,kilinc c,uysal a Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial. Acta Orthopaedica et Traumatologica Turcica. 2019; 53(5): 334 - 339. 10.1016/j.aott.2019.04.001
IEEE	CANBEK U,Akgun U,Aydogan N,kilinc c,uysal a "Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial." Acta Orthopaedica et Traumatologica Turcica, 53, ss.334 - 339, 2019. 10.1016/j.aott.2019.04.001
ISNAD	CANBEK, UMUT vd. "Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: A prospective randomized controlled trial". Acta Orthopaedica et Traumatologica Turcica 53/5 (2019), 334-339. https://doi.org/10.1016/j.aott.2019.04.001