title: The adductor canal block provides effective analgesia similar to a femoral nerve block in patients undergoing total knee arthroplasty--a retrospective study.
abstract: OBJECTIVE
  To determine the ability of an ultrasound-guided single-shot adductor canal block to provide adequate analgesia and improve performance during physical therapy.
  
  
  METHODS
  A retrospective chart review.
  
  
  METHODS
  All procedures were performed at Ochsner Medical Center.
  
  
  METHODS
  Patient demographics as well as the type of peripheral nerve block performed. Pain scores and opioid consumption were recorded at postanesthesia care unit discharge and again at 8 ± 3, 16 ± 3, and 24 ± 3 hours. In addition, physical therapy performance was analyzed.
  
  
  RESULTS
  There were no significant differences in pain scores or cumulative hydromorphone requirements between the adductor canal block group and the femoral nerve block group at any of the time points analyzed. Gait distance measured during physical therapy sessions in the adductor canal block group was superior compared with the femoral nerve block group.
  
  
  CONCLUSIONS
  Within the first 24 hours, a single-shot adductor canal block provides equally effective analgesia when compared with a femoral nerve block and improves postoperative physical therapy performance.
authors.affiliation: Staff Anesthesiologist, Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA 70121, USA. Electronic address: mpatterson@ochsner.org.
authors.forename: Matthew E
authors.initials: ME
authors.lastname: Patterson
authors.affiliation: Resident Anesthesiologist, Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA 70121, USA.
authors.forename: Kim S
authors.initials: KS
authors.lastname: Bland
authors.affiliation: Staff Anesthesiologist, Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA 70121, USA.
authors.forename: Leslie C
authors.initials: LC
authors.lastname: Thomas
authors.affiliation: Staff Anesthesiologist, Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA 70121, USA.
authors.forename: Clint E
authors.initials: CE
authors.lastname: Elliott
authors.affiliation: Staff Anesthesiologist, Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA 70121, USA.
authors.forename: Jose R
authors.initials: JR
authors.lastname: Soberon
authors.affiliation: Staff Anesthesiologist, Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA 70121, USA.
authors.forename: Bobby D
authors.initials: BD
authors.lastname: Nossaman
authors.affiliation: Staff Anesthesiologist, Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA 70121, USA.
authors.forename: Kristie
authors.initials: K
authors.lastname: Osteen
mesh_terms: D000368:Aged; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods* / Q000534:rehabilitation; D005260:Female; D005267:Femoral Nerve; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control*; D026741:Physical Therapy Modalities; D012189:Retrospective Studies; D018084:Ultrasonography, Interventional / Q000379:methods
chemical_list: D000701:Analgesics, Opioid
keywords: Acute pain management; Adductor canal block; Femoral nerve block; Regional anesthesia; Total knee arthroplasty