Comparison between obturator nerve block and femoral nerve block to relieve pain after elective arthroscopic ACL reconstruction of the knee
Message:
Abstract:
Aim and
Background
Femoral nerve block is the common method for controlling pain after knee surgery, but it is not the only knee nerve and so always does not provide successful block. Another innervation of the knee is from obturator nerve.
Materials And Methods
In this double-blind study, 60 patients whom have undergone elective arthroscopic knee surgery randomly divided into 2 groups of equal number; The femoral nerve block group and obturator nerve block group that. Then after the block patients were evaluated for pain with VAS. Also satisfaction scale was inquired [based on the excellent (1), good (2) moderate (3) and dissatisfied (4)]. Data was analyzed with SPSS 20 software.
Findings: Pain was measured at rest in the femoral block, which at all hours showed less scores than obturator block except for measuring at 24 hours. And at 0, 3 and 6 hours after block this difference was statistically significant (at time 0 P value = 0.048 and at 3 and 6
Conclusion
The study showed that patients undergoing femoral nerve block have less pain and greater satisfaction scores compared with patients that were under obturator block. Although, VAS in both groups was in an acceptable level of analgesia after surgery.
Language:
Persian
Published:
Journal of Anesthesiology and Pain, Volume:7 Issue: 3, 2016
Pages:
68 to 74
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