Summary: The purpose of this study was to investigate the novel placement of a catheter placed between the muscles that make up the adductor canal accessed during a standard para-patella surgical approach in TKA.

Introduction

Total knee arthroplasty (TKA) is considered to be one of the more painful medical procedures routinely performed today. Pain management in TKA patients is challenged by a postoperative requirement for early ambulation along with a concurrent goal to reduce opioid consumption while reducing the hospital stay. Peripheral nerve blocks (PNB) address these concerns to some degree, with femoral nerve block, and adductor canal block being the most commonly used regional nerve blocks for surgeries performed around the knee joint.

Purpose

The purpose of this study was to investigate the novel placement of a catheter placed between the muscles that make up the adductor canal accessed during a standard para-patella surgical approach in TKA. This catheter placement was compared to standard anesthesia placements performed under ultrasound guidance.

Study Design: Cadaveric Study

Methods

The study was conducted in 12 fresh-frozen human cadaveric lower limbs

Results

Using colored indicator dyes to clearly locate the site of surrogate peripheral nerve blocks, this cadaveric study demonstrated that a standard surgical approach to the knee provides an excellent exposure to the medial intermuscular septum adjacent to the adductor canal. Through a standard anterior surgical approach to the knee a novel intraoperative catheter placement technique can be performed to provide a peripheral nerve block for patients undergoing TKA comparable or potentially superior to standard ultrasound guided anesthesia block techniques.

Conclusion

The present cadaveric study has demonstrated that a standard approach for a TKA provides an excellent exposure to the medial intermuscular septum adjacent to the adductor canal, allowing for placement of a PNB. This novel intraoperative catheter placement technique administered by the surgeon is a safe and efficient method to provide for extended relief of post-TKA pain.

Keywords: Adductor Canal Blocks, pain management, Total Knee Arthroplasty

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Incidence and Prevention of Deep Vein Thrombosis Using Thromboprophylaxis in Total Knee Replacement: A Prospective Clinical Study ePoster Presentation Amit Lakhani, MS, DNB, MRCPS(Glassg), MNAS, INDIA
Association Of Ischemia Time And Serum Lactate Levels With Postoperative Pain In Primary Total Knee Arthroplasty At The Orthopedics And Traumatology Service At The Unidad Médica De Alta Especialidad No. 1 Bajío. ePoster Presentation Juan Antonio García Ramírez, MD, MEXICO
Modular Knee Arthrodesis as Definitive Treatment for Periprosthetic Infection, Bone Loss, and Failure of the Extensor Mechanism after Total Knee Arthroplasty ePoster Presentation Gloria Shoshana Coden, MD, UNITED STATES Maksym Bartashevskyy, BA, UNITED STATES Zachary Berliner, MD, UNITED STATES Ruijia Niu, MPH, UNITED STATES James V. Bono, MD, UNITED STATES Ayesha Abdeen, MD, UNITED STATES Eric L. Smith, MD, UNITED STATES
Influence of Mini Approach Instrumentation on Component Alignment In Unicondylar Knee Replacement ePoster Presentation Vinod Kumar, MBBS, MS, DNB, MNAMS, INDIA Deepak Gupta, MBBS, MS, INDIA Ananya Sharma, MBBS, MS, DNB , INDIA
Use of Tibial Stem for Patients with Morbid Obesity in Total Knee Arthroplasty ePoster Presentation José Eduardo Flores Naranjo, MD, MEXICO Adrian Aziz Cortes De La Fuente, MD, MEXICO Octavio Martinez Montiel, MD, MEXICO Fernando Martinez Zuñiga, MD, MEXICO
Impact of Femur Correction on the Mechanical Alignment of the Total Knee Prosthesis ePoster Presentation Israel Alejandro Alejandro González Rizo, MD, MEXICO Fidel G Dobarganes, Prof, MEXICO Jorge Negrete Corona, MD, MEXICO Alberto Guevara-Alvarez, MD, MEXICO Franco Garcini Munguia, MD, MEXICO
A Prospective Randomised Study to Compare the Clinical and Radiological Outcomes of Functionally Aligned versus Mechanically Aligned Total Knee Arthroplasty with Robotic Arm Assistance ePoster Presentation Jai Thilak Kailathuvalapil, MS, MCh, FRCS, INDIA Amal Antony Paul, MBBS, INDIA
Does 1000 Mg Ferric Carboxylate Maltose Have an Additional Benefit on the Haemoglobin Recovery Post Total Knee Arthroplasty? - A Comparison with 500 Mg of Ferric Carboxymaltose ePoster Presentation Adit Rajesh Maniar, MBBS, MS Orthopaedics, DNB Orthopaedics, INDIA Ashwini Khokhar, MS, INDIA Akshay Nayak, M.B.B.S, M.S , INDIA Naveen Chandar, MBBS, INDIA Abhinav Mishra, MS, DNB, INDIA Rajesh Maniar, INDIA
Antibiotic-Loaded Bone Cement with Colistin at Erythromycin Do Not Decrease Chronic TKA Pji at a Long-Term ePoster Presentation Daniel Pérez-Prieto, MD, SPAIN Albert Fontanellas, MD, SPAIN Pedro Hinarejos, MD, PhD, SPAIN Juan Francisco Sanchez-Soler, MD, PhD, SPAIN Raúl Torres-Claramunt, PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN

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Novel Technique For Surgeon-Placed Nerve Block And Continuous Nerve Block In Total Knee Arthroplasty. A Cadaveric Study

Novel Technique For Surgeon-Placed Nerve Block And Continuous Nerve Block In Total Knee Arthroplasty. A Cadaveric Study

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Novel Technique For Surgeon-Placed Nerve Block And Continuous Nerve Block In Total Knee Arthroplasty. A Cadaveric Study

Novel Technique For Surgeon-Placed Nerve Block And Continuous Nerve Block In Total Knee Arthroplasty. A Cadaveric Study

Introduction

Purpose

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content