A Comparative Study between Sub-Sartorial Canal Block and Patient Controlled Analgesia for Postoperative Analgesia after Total Knee Replacement Surgery

Abstract

Abstract Background Knee arthroscopy is a common orthopaedic procedure worldwide, despite its minimally invasive nature compared to the traditional knee surgery, post-arthroscopic pain may be severe, and the patients generally require a significant amount of opioid-based analgesics after such procedures. Aim of the Work To compare the analgesic efficacy and functional recovery of Adductor Canal Block and PCA in patients who have undergone total knee replacement surgeries. Patients and Methods This study is a prospective randomized controlled clinical trial. After obtaining approval from the Research Ethical Committee of Ain Shams University, this study will be conducted in the operating theatres of Ain Shams University Hospitals. Through a period of six months. Results Peripheral nerve blocks offer effective analgesia and decrease the need for opioids, thereby reducing the complications associated with the use of this class of drug. Pain management regimens following knee arthroscopy include oral analgesics, periarticular injection, peripheral nerve blocks (PNBs), and intravenous patient-controlled analgesia (PCA). The use of an adductor canal block (ACB) that offers almost pure sensory block with minimal motor involvement as part of a multimodal approach to pain control after knee arthroscopy Conclusion Effective pain management following total knee arthroplasty (TKA) and knee arthroscopy is crucial for achieving early post-operative mobilization, patient satisfaction, and minimizing complications. Opioids have traditionally been used to manage pain, but their potential side effects, such as vomiting and respiratory depression, have led to a search for alternative approaches.