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


Article Metrics

CrossRef Citations:
1
Total Statistics:

Full-Text HTML Views: 2835
Abstract HTML Views: 863
PDF Downloads: 1241
ePub Downloads: 415
Total Views/Downloads: 5354
Unique Statistics:

Full-Text HTML Views: 1494
Abstract HTML Views: 499
PDF Downloads: 610
ePub Downloads: 307
Total Views/Downloads: 2910



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.