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3509
Adductor Canal Block and Functional Recovery after Total Knee Arthroplasty. A Double-blind, Randomized Controlled Trial
Fri, April 7, 8:00-9:30 am
Salon 6

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Adductor Canal Block and Functional Recovery after Total Knee Arthroplasty.
A Double-blind, Randomized Controlled Trial
Abhijit Biswas, Anahi Perlas, Ki Jinn Chin, Ahtsham Niazi, Barjind Pandher, Vincent Chan.

Toronto Western Hospital, University Health Network, Toronto.

Introduction

Multimodal analgesia has a pivotal role in improving functional outcomes and enhancing early rehabilitation following total knee arthroplasty.  This randomized controlled double-blind study  compares functional and analgesic outcomes, following unilateral total knee arthroplasty associated with three different analgesic regimens:

group 1: local infiltration analgesia (LIA);

group 2: LIA plus adductor canal block (ACB)

group 3: LIA plus ACB plus intrathecal morphine (ITM)

Method

ØPrimary outcome: “Timed Up and Go” (TUG) test on POD#2. 
ØRandomized, double-blind, controlled study
ØElective unilateral TKA
ØSecondary outcomes: Distance walked, pain scores at pre-defined intervals, the incidence of “uncontrolled pain” (defined as the need for rescue intravenous PCA), cumulative opioid requirements, opioid-related side effects, hospital length-of-stay and WOMAC score three months postoperatively


 

 

   

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