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Papers of the Week


2022 Sep-Dec


J Orthop Surg (Hong Kong)


30


3

Efficacy of single-shot adductor canal block before Versus after primary total knee arthroplasty – Does timing make a difference? A randomized controlled trial.

Authors

Heller S, Shemesh S, Rukinglaz O, Cohen N, Velkes S, Fein S
J Orthop Surg (Hong Kong). 2022 Sep-Dec; 30(3):10225536221132050.
PMID: 36189733.

Abstract

Total knee arthroplasty (TKA) is associated with severe postoperative pain. Multimodal analgesia, including peripheral nerve block, is recommended for post-operative pain relief. Administration of some pain medications prior to surgery has shown to be more effective than after the operation. This is a prospective, randomized controlled trial designed to compare the analgesic efficacy of the adductor canal block (ACB) performed immediately before or immediately after primary total knee arthroplasty (TKA). We hypothesized that ACB before the surgery will reduce postoperative pain and improve knee function.