Comparison of the Effects of Femoral Nerve Block and Adductor Canal Block on Postoperative Analgesia in Patients to Undergo Unilateral Knee Arthroplasty

Basit Öğe Kaydı
dc.contributor.authorKina, Soner
dc.contributor.authorÇınar, Ayşe Surhan
dc.contributor.authorŞahin, Kerim
dc.contributor.authorDemircioğlu, Onur
dc.date.accessioned2026-01-24T11:57:10Z
dc.date.available2026-01-24T11:57:10Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractAim: Total knee arthroplasty (TKA) is a major orthopedic procedure often associated with significant postoperative pain. Effective pain management is critical for early mobilization, rehabilitation, and reducing complications such as chronic pain. With the increasing use of ultrasound in regional anesthesia, the frequency of femoral nerve block (FNB) and adductor canal block (ACB) for analgesia after TKA is rising. This study aimed to compare the effects of femoral nerve block and adductor canal block on postoperative analgesia in patients undergoing unilateral knee arthroplasty. Material and Methods: The study was conducted with the approval of the ethics committee, and written consent was obtained from the patients. It was carried out on 70 patients aged 18–70, with an American Society of Anesthesiologists (ASA) score of I-II, who planned to undergo elective TKA surgery. The study was designed as a prospective, randomized, and single-blind trial. Demographic data of the patients were recorded, and routine monitoring and general anesthesia induction were performed. Patients were divided into two groups: those who received FNB (Group F) and those who received ACB (Group A). Both groups were administered 20 mL of 0.375% bupivacaine. Heart rate (HR) and mean arterial pressure (MAP) were recorded intraoperatively before and after induction and every 30 minutes. In the postoperative period, patient-controlled analgesia (PCA) with intravenous tramadol was applied. Total tramadol usage and the number of times analgesia was needed were recorded. HR, MAP, and visual analog scale (VAS) scores were recorded at postoperative 30 minutes, 1, 2, 4, 6, 12, and 24 hours. Complications (nausea/vomiting, hypotension, bradycardia, itching) were recorded for 24 hours. Results: Mean VAS scores were significantly lower in the FNB group at postoperative 0, 1, 2, and 6 hours (p
dc.identifier.endpage70
dc.identifier.issn2146-2631
dc.identifier.issn2587-053X
dc.identifier.issue1
dc.identifier.startpage64
dc.identifier.urihttps://hdl.handle.net/20.500.12868/3667
dc.identifier.volume15
dc.language.isoen
dc.publisherKafkas Üniversitesi
dc.relation.ispartofKafkas Journal of Medical Sciences
dc.relation.ispartofKafkas Tıp Bilimleri Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_DergiPark_20260121
dc.subjectAnaesthesiology
dc.subjectAnesteziyoloji
dc.titleComparison of the Effects of Femoral Nerve Block and Adductor Canal Block on Postoperative Analgesia in Patients to Undergo Unilateral Knee Arthroplasty
dc.typeArticle

Dosyalar

Koleksiyon

Öksüz Yayınlar Koleksiyonu