scholarly journals Response to the commentary on "Comparison of adductor canal block with local infiltration analgesia in primary total knee arthroplasty: A meta-analysis of randomized controlled trials” (Int J Surg 2019; Epub ahead of print)

2020 ◽  
Vol 74 ◽  
pp. 120-122
Author(s):  
Qin Xu ◽  
Xuefang Zhao
Keyword(s):  
Meta Analysis ◽  
Primary Total Knee Arthroplasty ◽  
Adductor Canal Block ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Adductor Canal ◽  
Randomized Controlled ◽  
Total Knee ◽  
Infiltration Analgesia ◽  
Primary Total Knee

scholarly journals Adductor canal block combined with local infiltration analgesia versus isolated adductor canal block in reducing pain and opioid consumption after total knee arthroplasty: a systematic review and meta-analysis

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052092607
Author(s):  
Jianyong Lv ◽  
Cuiyuan Huang ◽  
Zuofeng Wang ◽  
Shan Ou
Keyword(s):  
Total Knee Arthroplasty ◽  
Meta Analysis ◽  
Outcome Data ◽  
Opioid Consumption ◽  
Adductor Canal Block ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Adductor Canal ◽  
Total Knee ◽  
Infiltration Analgesia

Objective To evaluate the efficacy and safety of the addition of local infiltration analgesia (LIA) to adductor canal block (ACB) for pain control after primary total knee arthroplasty (TKA). Methods Two reviewers independently searched for potentially relevant published studies using electronic databases, including PubMed® (1966 to June 2019), Embase® (1974 to June 2019) and Web of Science (1990 to June 2019). The results were pooled using the random-effects model to produce standard mean differences for continuous outcome data and odds ratio for categorical outcome data. Results A total of three randomized controlled trials (RCTs) and three non-RCTs were included for data extraction and meta-analysis. There were significant differences between the two groups regarding the postoperative pain score on postoperative day (POD) 0 and POD 1. The cumulative opioid consumption in the ACB plus LIA groups was significantly lower than that in the ACB groups on POD 0 and POD 1. No significant differences were found in terms of postoperative range of motion or length of hospitalization. Conclusion ACB plus LIA significantly reduced the postoperative pain score on POD 0 and POD 1 compared with isolated ACB. In addition, ACB plus LIA was associated with a significant reduction in opioid consumption during the early postoperative period.

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