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Adductor canal catheter block after total knee arthroplasty in patients with severe osteoarthritis and limited mobility. A single center study in Riyadh, Saudi Arabia
Abdullah Alturki1, Khalid Alsheikh2, Sarah A Aldeghaither3, Firas M Alsebayel4, Saleh Alazzam5, Ali A Alhandi5
1 Department of Orthopedic Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs; King Abdullah International Medical Research Centre (KAIMRC), Riyadh, Kingdom of Saudi Arabia
2 Department of Orthopedic Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs; King Abdullah International Medical Research Centre (KAIMRC); College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
3 King Abdullah International Medical Research Centre (KAIMRC); Department of Orthopedic Surgery, King Fahd Medical Military Hospital, Dhahran, Eastern Province, Kingdom of Saudi Arabia
4 King Abdullah International Medical Research Centre (KAIMRC); College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
5 Department of Orthopedic Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
Correspondence Address:
Firas M Alsebayel
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 3660, Riyadh 11481
Kingdom of Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/sja.sja_501_21
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Purpose: Total knee arthroplasty (TKA) is one of the most performed procedures. Postoperative pain control is an important factor for the improvement of patient's quality of life. The aim of this study is to report pain control results and functional outcome scores associated with adductor canal blockade (ACB) usage post-TKA. Methods: A prospective case series study of patients who underwent TKA for degenerative osteoarthritis with ACB postoperatively from 2018 to 2019 in a single center in Saudi Arabia, Riyadh. Assessment of functional outcome scores and pain level were measured preoperatively and postoperatively respectively using Knee injury and Osteoarthritis Outcome Score (KOOS) and the Visual Analog Scale (VAS). Results: Average KOOS score preoperatively for all 5 domains showed a marked improvement at 3 months compared to preoperative values. Pain score postoperatively was measured at 12, 24, and 48 h with an average of 0.7, 1.2, and 0.6 out of 10 on the VAS scale, respectively. The incidence of associated common side effects with the use of analgesic use was included as an add-on in the postoperative questionnaire. Conclusion: In conclusion, by comparing preoperative and postoperative pain levels and functional outcome scores, our study showed a significant pain control and improved functional outcome scores following TKA using ACB.
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