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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_11 | Pages 39 - 39
1 Nov 2022
LOCAL INFILTRATION ANAESTHESIA (LIA) IS EQUALLY EFFECTIVE AS ADDUCTOR CANAL BLOCKS (ACB) FOR PAIN RELIEF IN HAMSTRING GRAFT ANTERIOR CRUCIATE LIGAMENT (ACL) RECONSTRUCTIONS
Salhab M Sonwalkar S Anand S
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Abstract

Objectives

To determine the effectiveness of LIA compared to ACB in providing pain relief and reducing opiates usage in hamstring graft ACL reconstructions.

Materials and Methods

In a consecutive series of hamstring graft ACL reconstructions, patients received three different regional and/or anaesthetic techniques for pain relief. Three groups were studied: group 1: general anaesthetic (GA)+ ACB (n=38); group 2: GA + ACB + LIA (n=31) and group 3: GA+LIA (n=36). ACB was given under ultrasound guidance. LIA involved infiltration at skin incision site, capsule, periosteum and in the hamstring harvest tunnel. Analgesic medications were similar between the three groups as per standard multimodal analgesia (MMA). Patients were similar in demographics distribution and surgical technique. The postoperative pain and total morphine requirements were evaluated and recorded. The postoperative pain was assessed using the visual analogue scores (VAS) at 0hrs, 2hrs, 4hrs, weight bearing (WB) and discharge (DC).

Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_7 | Pages 27 - 27
1 Jul 2022
LOCAL INFILTRATION ANAESTHESIA (LIA) IS EQUALLY EFFECTIVE AS ADDUCTOR CANAL BLOCKS (ACB) FOR PAIN RELIEF IN HAMSTRING GRAFT ANTERIOR CRUCIATE LIGAMENT (ACL) RECONSTRUCTIONS
Salhab M Sonwalkar S Anand S
Full Access
View article

Abstract

Objectives

To determine the effectiveness of LIA compared to ACB in providing pain relief and reducing opiates usage in hamstring graft ACL reconstructions.

Materials and Methods

In a consecutive series of hamstring graft ACL reconstructions, patients received three different regional and/or anaesthetic techniques for pain relief. Three groups were studied: group 1: general anaesthetic (GA)+ ACB (n=38); group 2: GA + ACB + LIA (n=31) and group 3: GA+LIA (n=36). ACB was given under ultrasound guidance. LIA involved infiltration at skin incision site, capsule, periosteum and in the hamstring harvest tunnel. Analgesic medications were similar between the three groups as per standard multimodal analgesia (MMA). Patients were similar in demographics distribution and surgical technique. The postoperative pain and total morphine requirements were evaluated and recorded. The postoperative pain was assessed using the visual analogue scores (VAS) at 0hrs, 2hrs, 4hrs, weight bearing (WB) and discharge (DC).