AAOS2017: Adductor canal block versus combined spinal-epidural in total knee arthroplasty .
Adductor Canal Blocks Provide Superior Ambulation and Pain Control for Primary Knee Arthroplasty: A Randomized Controlled Trial
145 patients scheduled for total knee arthroplasty were randomized to either combined spinal-epidural anesthesia (CSE), spinal anesthesia plus an adductor canal block, or general anesthesia plus an adductor canal block. Patients were assessed for analgesia outcomes, mobilization, and day of discharge. Results demonstrated lower pain scores in the two ACB groups compared to the CSE group. There was also a relatively higher rate of patients discharged on the first postoperative day among the two ACB groups compared to the CSE group.
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