الفهرس 
TOTAL KNEE ARTHROPLASTYOnly 14 pages are availabe for public view
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Abstract
Background: Effective analgesia is necessary for early postoperative recovery following total knee arthroplasty (TKA). Adductor canal block (ACB) has a growing role in pain management. This study’s objective is to evaluate the effectiveness of ACB administration following spinal anesthesia in terms of post-operative pain relief, morphine consumption, early ambulation, and patient satisfaction.
Methodology: 36 patients who received ACB were compared to 36 patients who did not, regarding post-operative numerical rating scale score, and morphine consumption at PACU, 6hrs, 12hrs ,18hrs and 24hrs postoperatively as a primary outcome and as a secondary outcome, evaluation of quadriceps muscle power, onset of ambulation and patient satisfaction.
Results: A statistically significant DROP in NRS at 6, 12, 18, and 24 hours after surgery, but not in the postoperative care unit (p=0.75), and a decrease in the total morphine use among patients who underwent an ACB.A significant change was noted in ambulation and patient satisfaction in the ACB group, with no significant change in quadriceps muscular power among both groups.
Conclusion: ACB as a part of pain management strategy is successful in reducing post-operative pain, morphine consumption, enabling early ambulation, and elevating patient satisfaction.