Document Type: EDITORIAL

Authors

Department of Anesthesiology, Thomas Jefferson University Hospitals, Philadelphia, PA, USA

Abstract

In recent years, adductor canal block (ACB) has been introduced as an alternative for femoral nerve block with a great advantage of preserving or minimally reducing quadriceps strength. The technique is relatively easy and is performed under ultrasound guidance. Despite growing evidence regarding efficacy and safety of ACB following knee surgery, use of ACB is still limited to high volume orthopedic centers where trained anesthesiologists in regional anesthesia are available. In this editorial, we aim to briefly review current evidence about ACB.

Keywords

Main Subjects

1. Jæger P, Koscielniak-Nielsen ZJ, Schrøder HM,
Mathiesen O, Henningsen MH, Lund J, et al. Adductor
canal block for postoperative pain treatment after
revision knee arthroplasty: a blinded, randomized,
placebo-controlled study. PLoS One. 2014;
9(11):e111951.
2. Lund J, Jenstrup MT, Jaeger P, Sørensen AM, Dahl JB.
Continuous adductor-canal-blockade for adjuvant
post-operative analgesia after major knee surgery:
preliminary results. Acta Anaesthesiol Scand. 2011;
55(1):14-9.
3. Jaeger P, Nielsen ZJ, Henningsen MH, Hilsted KL,
Mathiesen O, Dahl JB. Adductor canal block versus
femoral nerve block and quadriceps strength: a
randomized, double-blind, placebo-controlled,
crossover study in healthy volunteers. Anesthesiology.
2013; 118(2):409-15.
4. Jenstrup MT, Jæger P, Lund J, Fomsgaard JS, Bache S,
Mathiesen O, et al. Effects of adductor-canal-blockade
on pain and ambulation after total knee arthroplasty:
a randomized study. Acta Anaesthesiol Scand. 2012;
56(3):357-64.
5. Kim DH, Lin Y, Goytizolo EA, Kahn RL, Maalouf DB,
Manohar A, et al. Adductor canal block versus femoral
nerve block for total knee arthroplasty: a prospective,
randomized, controlled trial. Anesthesiology. 2014;
120(3):540-50.
6. Kirkpatrick JD, Sites BD, Antonakakis JG. Preliminary
experience with a new approach to performing an
ultrasound-guided saphenous nerve block in the
mid to proximal femur. Reg Anesth Pain Med. 2010;
35(2):222-3.
7. Ludwigson JL, Tillmans SD, Galgon RE, Chambers TA,
Heiner JP, Schroeder KM. A comparison of single shot
adductor canal block versus femoral nerve catheter
for total knee arthroplasty. J Arthroplasty. 2015; 30(9
Suppl):68-71.
8. Sztain JF, Machi AT, Kormylo NJ, Abramson WB,
Madison SJ, Monahan AM, et al. Continuous adductor
canal versus continuous femoral nerve blocks:
relative effects on discharge readiness following
unicompartment knee arthroplasty. Reg Anesth Pain
Med. 2015; 40(5):559-67.
9. Machi AT, Sztain JF, Kormylo NJ, Madison SJ, Abramson
WB, Monahan AM, et al. Discharge readiness after
tricompartment knee arthroplasty: adductor canal
versus femoral continuous nerve blocks-a dualcenter,
randomized trial. Anesthesiology. 2015;
123(2):444-56.
10. Jæger P, Koscielniak-Nielsen ZJ, Hilsted KL, Fabritius
ML, Dahl JB. Adductor canal block with 10 mL Versus
30 mL local anesthetics and quadriceps strength:
a paired, blinded, randomized study in healthy
volunteers. Reg Anesth Pain Med. 2015; 40(5):553-8.