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Ultrasound-Guided Adductor Canal Block versus Combined Adductor Canal and Infiltration between the Popliteal Artery and the Posterior Capsule of the Knee Block for Osteoarthritis Knee Pain
CONTEXT: Minimally invasive therapeutic modalities have been used to relieve refractory pain of knee osteoarthritis (OA). OBJECTIVE: The main objective of the study was to compare the adductor canal block (ACB) with combined ACB and infiltration between the popliteal artery and the posterior capsule...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7428109/ https://www.ncbi.nlm.nih.gov/pubmed/32843805 http://dx.doi.org/10.4103/aer.AER_109_19 |
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author | El-Emam, El-Sayed M. El motlb, Enas A. Abd |
author_facet | El-Emam, El-Sayed M. El motlb, Enas A. Abd |
author_sort | El-Emam, El-Sayed M. |
collection | PubMed |
description | CONTEXT: Minimally invasive therapeutic modalities have been used to relieve refractory pain of knee osteoarthritis (OA). OBJECTIVE: The main objective of the study was to compare the adductor canal block (ACB) with combined ACB and infiltration between the popliteal artery and the posterior capsule of the knee (I-PACK) in patients suffering knee OA pain. PATIENTS AND METHODS: Fifty-six patients were randomly allocated into two equal groups: Group I received ultrasound-guided ACB with 10 mL of 0.125 bupivacaine plus 40 mg methylprednisolone And Group II received ultrasound-guided ACB with 10 mL of 0.125 bupivacaine plus 40 mg methylprednisolone and I-PACK block using same volume and concentration as ACB. RESULTS: Group II showed a statistically significant lower value of visual analog and Western Ontario and McMaster Universities scores at all follow-up intervals compared to Group I. CONCLUSION: Combined ACB and I-PACK block provide more effective analgesia and better functional outcome compared to the ACB alone. |
format | Online Article Text |
id | pubmed-7428109 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-74281092020-08-24 Ultrasound-Guided Adductor Canal Block versus Combined Adductor Canal and Infiltration between the Popliteal Artery and the Posterior Capsule of the Knee Block for Osteoarthritis Knee Pain El-Emam, El-Sayed M. El motlb, Enas A. Abd Anesth Essays Res Original Article CONTEXT: Minimally invasive therapeutic modalities have been used to relieve refractory pain of knee osteoarthritis (OA). OBJECTIVE: The main objective of the study was to compare the adductor canal block (ACB) with combined ACB and infiltration between the popliteal artery and the posterior capsule of the knee (I-PACK) in patients suffering knee OA pain. PATIENTS AND METHODS: Fifty-six patients were randomly allocated into two equal groups: Group I received ultrasound-guided ACB with 10 mL of 0.125 bupivacaine plus 40 mg methylprednisolone And Group II received ultrasound-guided ACB with 10 mL of 0.125 bupivacaine plus 40 mg methylprednisolone and I-PACK block using same volume and concentration as ACB. RESULTS: Group II showed a statistically significant lower value of visual analog and Western Ontario and McMaster Universities scores at all follow-up intervals compared to Group I. CONCLUSION: Combined ACB and I-PACK block provide more effective analgesia and better functional outcome compared to the ACB alone. Wolters Kluwer - Medknow 2020 2019-08-06 /pmc/articles/PMC7428109/ /pubmed/32843805 http://dx.doi.org/10.4103/aer.AER_109_19 Text en Copyright: © 2019 Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article El-Emam, El-Sayed M. El motlb, Enas A. Abd Ultrasound-Guided Adductor Canal Block versus Combined Adductor Canal and Infiltration between the Popliteal Artery and the Posterior Capsule of the Knee Block for Osteoarthritis Knee Pain |
title | Ultrasound-Guided Adductor Canal Block versus Combined Adductor Canal and Infiltration between the Popliteal Artery and the Posterior Capsule of the Knee Block for Osteoarthritis Knee Pain |
title_full | Ultrasound-Guided Adductor Canal Block versus Combined Adductor Canal and Infiltration between the Popliteal Artery and the Posterior Capsule of the Knee Block for Osteoarthritis Knee Pain |
title_fullStr | Ultrasound-Guided Adductor Canal Block versus Combined Adductor Canal and Infiltration between the Popliteal Artery and the Posterior Capsule of the Knee Block for Osteoarthritis Knee Pain |
title_full_unstemmed | Ultrasound-Guided Adductor Canal Block versus Combined Adductor Canal and Infiltration between the Popliteal Artery and the Posterior Capsule of the Knee Block for Osteoarthritis Knee Pain |
title_short | Ultrasound-Guided Adductor Canal Block versus Combined Adductor Canal and Infiltration between the Popliteal Artery and the Posterior Capsule of the Knee Block for Osteoarthritis Knee Pain |
title_sort | ultrasound-guided adductor canal block versus combined adductor canal and infiltration between the popliteal artery and the posterior capsule of the knee block for osteoarthritis knee pain |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7428109/ https://www.ncbi.nlm.nih.gov/pubmed/32843805 http://dx.doi.org/10.4103/aer.AER_109_19 |
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