2024 COA Annual Meeting: Comparison of local infiltration analgesia and adductor canal block for pain management following anterior cruciate ligament reconstruction: a systematic review and meta-analysis

Four randomized controlled trials with patients undergoing anterior cruciate ligament reconstruction were included in this systematic review and meta-analysis comparing local infiltration analgesia (LIA) versus an adductor canal block (ACB). Pooled outcomes of interest included pain scores at 2, 6, 12, and 24 hours post-surgery and 24-hour opioid consumption. The pooled results showed no statistically significant differences in pain scores or opioid consumption between the two analgesic methods. The main findings suggest that both LIA and ACB are equally effective for pain management following ACL reconstruction.