CASE REPORT


Adductor Canal Block (ACB) provides Adequate Postoperative Analgesia in Patients Undergoing Total Knee Arthroplasty (TKA): Case Report



Muhammad Ramli Ahmad1, *, Madonna Damayanthie Datu1, Rezki Hardiyanti1, Jokevin Prasetyadhi1
1 Department of Anesthesiology, Intensive Care, and Pain Management, Faculty of Medicine, Hasanuddin University/RSUP Dr. Wahidin Sudirohusodo, Makassar, Indonesia


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Creative Commons License
© 2022 Ahmad et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Anesthesiology, Intensive Care, and Pain Management, Faculty of Medicine, Hasanuddin University/RSUP Dr. Wahidin Sudirohusodo, Makassar, Indonesia; Tel: 0811442733; E-mail: m_ramli_ahmad@yahoo.co.id


Abstract

Background:

Effective postoperative multimodal analgesia facilitates early physical rehabilitation to maximize the postoperative range of motion and prevent joint adhesions following total knee arthroplasty (TKA). Adductor canal block has been reported as a supplement to multimodal analgesia protocols in patients undergoing TKA. The use of ultrasound (US) guidance has improved the success rates of the blocks compared with blind approaches.

Case Presentation:

This report described two elderly patients undergoing TKA with ACB as postoperative pain management, resulting in adequate pain control during the postoperative period.

Conclusion:

Adductor canal block can be used to optimize multimodal analgesia by reducing opioid requirements and enhancing recovery after TKA.

Keywords: Adductor canal block, Analgesia, Bupivacaine, Peripheral nerve block, Total knee arthroplasty, Osteoarthritis.