Ultrasound-guided adductor canal block using levobupivacaine versus periarticular levobupivacaine infiltration after total knee arthroplasty: A randomized clinical trial

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dc.authorid0000-0002-3248-0745
dc.authorid0000-0002-3953-091X
dc.authorid0000-0002-5574-1901
dc.authorid0000-0003-2167-9967
dc.authorid0000-0001-6546-4277
dc.contributor.authorCicekci, Faruk.
dc.contributor.authorYildirim, Ahmet.
dc.contributor.authorOnal, Ozkan.
dc.contributor.authorCelik, Jale Bengi.
dc.contributor.authorKara, Inci.
dc.date.accessioned2020-03-26T20:19:41Z
dc.date.available2020-03-26T20:19:41Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBACKGROUND: Both postoperative pain control and range of motion are important in total knee arthroplasty (TKA). However, in the literature, there is little comparison of peripheral nerve blocks and periarticular infiltration techniques using levobupivacaine. The aim of our study was to measure pain with visual analogue scale (VAS) and knee range of motion (ROM) between in patients undergoing adductor canal block (ACB) for TKA using levobupivacaine compared to periarticular levobupivacaine infiltration (PAI-L). DESIGN AND SETTING: Prospective randomized clinical trial in a university hospital. METHODS: Patients aged 40-85 years who underwent unilateral TKA were included; 39 were treated with periarticular infiltration using 40 ml (0.125 mg) of levobupivacaine (PAI-L group); and 40 were treated with ACB using 20 ml of 0.25% levobupivacaine (ACB-L group). Postoperative pain scores at rest and during active physical therapy were assessed using a VAS, along with knee ROM in flexion and extension. In addition, 100-foot walking time results, total morphine consumption and time of first analgesia requirement were recorded postoperatively. RESULTS: VAS scores at rest and during active physical therapy and the total amount of morphine consumed were lower in the ACB-L group than in the PAI-L group (P < 0.05). In contrast, knee ROM in flexion and extension and 100-foot walking times were greater in the PAI-L group than in the ACB-L group (P < 0.05). CONCLUSION: ACB-L was superior to PAI-L regarding pain treatment after TKA; however, PAI-L was superior to ACB-L regarding postoperative ROM and walking ability.en_US
dc.identifier.citationCicekci, F., Yildirim, A., Önal, Ö., Celik, J. B., Kara, I. (2019). Ultrasound-Guided Adductor Canal Block Using Levobupivacaine Versus Periarticular Levobupivacaine Infiltration After Total Knee Arthroplasty: A Randomized Clinical Trial. Sao Paulo Medical Journal, 137(1), 45-53.
dc.identifier.doi10.1590/1516-3180.2018.0269101218en_US
dc.identifier.endpage53en_US
dc.identifier.issn1516-3180en_US
dc.identifier.issue1en_US
dc.identifier.pmid31116270en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage45en_US
dc.identifier.urihttps://dx.doi.org/10.1590/1516-3180.2018.0269101218
dc.identifier.urihttps://hdl.handle.net/20.500.12395/38366
dc.identifier.volume137en_US
dc.identifier.wosWOS:000468789100008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorCicekci, Faruk.
dc.institutionauthorYildirim, Ahmet.
dc.institutionauthorOnal, Ozkan.
dc.institutionauthorCelik, Jale Bengi.
dc.institutionauthorKara, Inci.
dc.language.isoenen_US
dc.publisherASSOCIACAO PAULISTA MEDICINAen_US
dc.relation.ispartofSAO PAULO MEDICAL JOURNALen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectLevobupivacaineen_US
dc.subjectArthroplasty, replacement, kneeen_US
dc.subjectUltrasonographyen_US
dc.subjectRehabilitationen_US
dc.subjectAnalgesiaen_US
dc.titleUltrasound-guided adductor canal block using levobupivacaine versus periarticular levobupivacaine infiltration after total knee arthroplasty: A randomized clinical trialen_US
dc.typeArticleen_US

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