Background The goal of this study was to compare the analgesic efficacy dexmedetomidine and levobupivacaine in adductor canal block (ACB) total knee arthroplasty (TKA) patients, as well ambulation ability adverse effects.Methods Sixty ranging age from 18 60 years old with an ASA status I II, had unilateral TKA under spinal anesthesia. They were randomized into two groups; Group L received 20 mL...

Abstract Aim To maximise postoperative analgesia, whilst minimising opioid use, motor sparing peripheral nerve blocks have been described as an alternative to local infiltration analgesia (LIA) with adductor canal block (ACB) in total knee arthroplasty (TKA). At The Robert Jones and Agnes Hunt Orthopaedic Hospital, we developed a new technique, involving ten separate injections the four genicul...

A continuous peripheral nerve block (CPNB) consists of a percutaneously inserted catheter with its tip adjacent to a target nerve/plexus through which local anesthetic may be administered, providing a prolonged block that may be titrated to the desired effect. In the decades after its first report in 1946, a plethora of data relating to CPNB was published, much of which was examined in a 2011 A...

BACKGROUND AND OBJECTIVES This study was conducted to provide a thorough description of the variability in the obturator nerve branching pattern in the inguinal region. METHODS The anatomic variability of obturator nerve branching among 84 dissected embalmed cadavers was investigated. Ultrasound examination of the inguinal region was undertaken in 20 cases and the location of the obturator ne...