الفهرس 
Combined Ultrasound-Guided Adductor Canal Block and Lateral Genicular Nerves Block versus Sole Adductor Canal Block in Anterior Cruciate Ligament Reconstruction: A Randomized Comparative Trial
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Abstract
Currently, there is a move to block the saphenous branch of the femoral nerve within the adductor canal (AC) due to the motor sparing properties at this location. Moreover, ACB has the advantage of providing additional analgesic properties over the saphenous nerve due to the presence of extrasensory branches from the obturator nerve supplying the knee, within the canal (4).
ACB provides adequate analgesia at anteromedial aspect of knee; however, it has minimal or no effect on the posterior and lateral aspects of the knee. Thus, a hybrid block had been described to improve the analgesic properties of ACB (6). Lateral genicular nerves (GN) block has been used as a sole analgesic effect in knee. Genicular nerves are the main innervating articular branches for the knee joint. The superior medial genicular nerve (SMGN) and the inferior medial genicular nerve (IMGN) suppling the medial and posterior aspect of knee joint while the superior lateral genicular never (SLGN) and inferior lateral genicular never