Anesthesia for knee arthroscopy: which nerves should be blocked?
Keywords:knee arthroscopy, adductor canal block, sciatic nerve block
Nowadays knee arthroscopy is the most common orthopedic procedure. It is used to diagnose and treat various pathological conditions. Usually knee arthroscopy can be performed using spinal anesthesia. The article presents a successful experience of using a combined technique, which consist in a unilateral subarachnoid anesthesia with additional adductor canal block and blocks of the articular branches of the sciatic and obturator nerves.
Taha A, Abd-Elmaksoud A. Arthroscopic medial meniscus trimming or repair under nerve blocks: Which nerves should be blocked? Saudi Journal of Anaesthesia [Internet]. Medknow; 2016;10(3):283. Available from: https://doi.org/10.4103/1658-354x.174912
Richmond JC, Bono JV, McKeon BP, editors. Knee Arthroscopy. Springer US; 2009; Available from: https://doi.org/10.1007/978-0-387-89504-8
Osaka Y, Kashiwagi M, Nagatsuka Y. Ultrasound-guided combined femoral-obturator nerve block for the knee arthroscopic surgery of meniscal lesions: Case report. Masui. The Japanese journal of anesthesiology. 2010 Aug 1;59(8):1042-4.
Sankineani SR, Reddy ARC, Eachempati KK, Jangale A, Gurava Reddy AV. Comparison of adductor canal block and IPACK block (interspace between the popliteal artery and the capsule of the posterior knee) with adductor canal block alone after total knee arthroplasty: a prospective control trial on pain and knee function in immediate postoperative period. European Journal of Orthopaedic Surgery & Traumatology [Internet]. Springer Science and Business Media LLC; 2018 May 2;28(7):1391–5. Available from: https://doi.org/10.1007/s00590-018-2218-7
Thobhani S, Scalercio L, Elliott CE, Nossaman BD, Thomas LC, Yuratich D, Bland K, Osteen K, Patterson ME. Novel regional techniques for total knee arthroplasty promote reduced hospital length of stay: an analysis of 106 patients. Ochsner Journal. 2017 Sep 21;17(3):233-8.
O’Donnell R, Dolan J. Anaesthesia and analgesia for knee joint arthroplasty. BJA Education [Internet]. Elsevier BV; 2018 Jan;18(1):8–15. Available from: https://doi.org/10.1016/j.bjae.2017.11.003
Sinelnikov RD, Sinelnikov YaR, Sinelnikov AYa. Atlas of human anatomy: A textbook for medical student. 7th ed. Moscow; RIA «New Wave»; 2011.
Kertkiatkachorn W, Kampitak W, Tanavalee A, Ngarmukos S. Adductor Canal Block Combined With iPACK (Interspace Between the Popliteal Artery and the Capsule of the Posterior Knee) Block vs Periarticular Injection for Analgesia After Total Knee Arthroplasty: A Randomized Noninferiority Trial. The Journal of Arthroplasty [Internet]. Elsevier BV; 2021 Jan;36(1):122–129.e1. Available from: https://doi.org/10.1016/j.arth.2020.06.086
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This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License