Current methods of perioperative analgesia for arthroscopic anterior cruciate ligament reconstruction: a literature review
- Authors: Gorelov D.V.1, Babayants A.V.1,2, Ovechkin A.M.3
-
Affiliations:
- Yudin City Clinical Hospital
- Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
- Sechenov First Moscow State Medical University (Sechenov University)
- Issue: Vol 18, No 1 (2024)
- Pages: 5-16
- Section: Reviews
- URL: https://journals.rcsi.science/1993-6508/article/view/257404
- DOI: https://doi.org/10.17816/RA624428
- ID: 257404
Cite item
Abstract
Arthroscopic knee joint surgery is becoming routine in modern orthopedics. Its advantages include minimal invasiveness, lower infection risk, and early rehabilitation. Despite the minimized surgical trauma, the postoperative period after some arthroscopic operations involving cruciate ligament surgery occurs with relatively severe pain syndrome. This warrants the search for novel pain relief methods for patients that meet all modern trends. This review presents data from randomized clinical studies and meta-analyses on the use of various anesthesias in arthroscopic cruciate ligament repair and discusses methods of prolonged postoperative analgesia. The limited number of studies on this issue and lack of systematic recommendations require prospective studies.
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##article.viewOnOriginalSite##About the authors
Danil V. Gorelov
Yudin City Clinical Hospital
Author for correspondence.
Email: GorelovD.V@yandex.ru
ORCID iD: 0000-0001-9554-2942
SPIN-code: 7893-4040
MD, anesthesiologist-resuscitator
Russian Federation, MoscowAndrey V. Babayants
Yudin City Clinical Hospital; Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
Email: babayants@gmail.com
ORCID iD: 0000-0003-3072-3237
SPIN-code: 2603-9728
MD, Cand. Sci. (Medicine), associate professor
Russian Federation, Moscow; MoscowAlexei M. Ovechkin
Sechenov First Moscow State Medical University (Sechenov University)
Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0002-3453-8699
SPIN-code: 1277-9220
MD, Dr. Sci. (Medicine), professor
Russian Federation, MoscowReferences
- Kim S, Bosque J, Meehan JP, et al. Increase in outpatient knee arthroscopy in the United States: a comparison of National Surveys of Ambulatory Surgery, 1996 and 2006. J Bone Joint Surg Am. 2011;93(11):994–1000. doi: 10.2106/JBJS.I.01618
- Salzler MJ, Lin A, Miller CD, et al. Complications after arthroscopic knee surgery. Am J Sports Med. 2014;42(2):292–296. doi: 10.1177/0363546513510677
- Reigstad O, Grimsgaard C. Complications in knee arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2006;14(5):473–477. doi: 10.1007/s00167-005-0694-x
- Hagino T, Ochiai S, Watanabe Y, et al. Complications after arthroscopic knee surgery. Arch Orthop Trauma Surg. 2014;134(11):1561–1564. doi: 10.1007/s00402-014-2054-0
- Casati A, Cappelleri G, Aldegheri G, et al. Total intravenous anesthesia, spinal anesthesia or combined sciatic-femoral nerve block for outpatient knee arthroscopy. Minerva Anestesiol. 2004;70(6):493–502.
- Wesam K, Jraisat I, Harahsheh H, et al. Spinal, Epidural, and General Anesthesia for Knee Joint Arthroscopy: Diversity, Equity, and Inclusion — Comparison Study. Anesth Essays Res. 2022;16(2):181–186. doi: 10.4103/aer.aer_93_22
- Leathers MP, Merz A, Wong J, et al. Trends and demographics in anterior cruciate ligament reconstruction in the United States. J Knee Surg. 2015;28(5):390–394. doi: 10.1055/s-0035-1544193
- Gilev MV, Gvozdevich VD, Volokitina EA, et al. Anatomy of the knee joint: training manual. Ekaterinburg: UGMU; 2016. (In Russ.)
- Horner G, Dellon AL. Innervation of the Human Knee Joint and Implications for Surgery. Clin Orthop Relat Res. 1994;(301):221–226. doi: 10.1097/00003086-199404000-00034
- Dahl V, Gierløff C, Omland E, Raeder JC. Spinal, epidural or propofol anaesthesia for out-patient knee arthroscopy? Acta Anaesthesiol Scand. 1997;41(10):1341–1345. doi: 10.1111/j.1399-6576.1997.tb04655.x
- Prabhakar A, Mancuso KF, Owen CP, et al. Perioperative analgesia outcomes and strategies. Best Pract Res Clin Anaesthesiol. 2014;28(2):105–115. doi: 10.1016/j.bpa.2014.04.005
- Parnass SM, McCarthy RJ, Bach BR Jr, et al. Beneficial impact of epidural anesthesia on recovery after outpatient arthroscopy. Arthroscopy. 1993;9(1):91–95. doi: 10.1016/s0749-8063(05)80351-2
- Kang XH, Bao FP, Xiong XX, et al. Major complications of epidural anesthesia: a prospective study of 5083 cases at a single hospital. Acta Anaesthesiol Scand. 2014;58(7):858–866. doi: 10.1111/aas.12360
- Ovechkin AM, Politov ME, Morozov DV. Neurological complications of regional anesthesia. Regional Anesthesia and Acute Pain Management. 2018;12(1):6–14. doi: 10.17816/RA42856
- Neal JM, Deck JJ, Kopacz DJ, Lewis MA. Hospital discharge after ambulatory knee arthroscopy: A comparison of epidural 2-chloroprocaine versus lidocaine. Reg Anesth Pain Med. 2001;26(1):35–40. doi: 10.1053/rapm.2001.9852
- Casati A, Fanelli G, Danelli G, et al. Spinal anesthesia with lidocaine or preservative-free 2-chlorprocaine for outpatient knee arthroscopy: a prospective, randomized, double-blind comparison. Anesth Analg. 2007;104(4):959–964. doi: 10.1213/01.ane.0000258766.73612.d8
- Nair GS, Abrishami A, Lermitte J., Chung F. Systematic review of spinal anaesthesia using bupivacaine for ambulatory knee arthroscopy. Br J Anaesth. 2009;102(3):307–315. doi: 10.1093/bja/aen389
- Demiraran Y, Yucel I, Akcali GE, et al. Adding intrathecal morphine to unilateral spinal anesthesia results in better pain relief following knee arthroscopy. J Anesth. 2008;22(4):367–372. doi: 10.1007/s00540-008-0648-9
- Merivirta R, Kuusniemi K, Jaakkola P, et al. Unilateral spinal anaesthesia for outpatient surgery: a comparison between hyperbaric bupivacaine and bupivacaine-clonidine combination. Acta Anaesthesiol Scand. 2009;53(6):788–793. doi: 10.1111/j.1399-6576.2009.01955.x
- Freedman JM, Li DK, Drasner K, et al. Transient neurologic symptoms after spinal anesthesia: an epidemiologic study of 1,863 patients. Anesthesiology. 1998;89(3):633–641. doi: 10.1097/00000542-199809000-00012. Erratum in: Anesthesiology. 1998;89(6):1614.
- Andrés-Cano P, Godino M, Vides M, Guerado E. Postoperative complications of anterior cruciate ligament reconstruction after ambulatory surgery. Rev Esp Cir Ortop Traumatol. 2015;59(3):157–164. doi: 10.1016/j.recot.2014.09.001
- Zhang L, Tong Y, Li M, et al. Sciatic-femoral nerve block versus unilateral spinal anesthesia for outpatient knee arthroscopy: a meta-analysis. Minerva Anestesiol. 2015;81(12):1359–1368.
- Montes FR, Zarate E, Grueso R, et al. Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy. J Clin Anesth. 2008;20(6):415–420. doi: 10.1016/j.jclinane.2008.04.003
- Vorobeichik L, Brull R, Joshi G, Abdallah FW. Evidence Basis for Regional Anesthesia in Ambulatory Anterior Cruciate Ligament Reconstruction: Part I — Femoral Nerve Block. Anesth Analg. 2019;128(1):58–65. doi: 10.1213/ANE.0000000000002854
- Sehmbi H, Brull R, Shah UJ, et al. Evidence Basis for Regional Anesthesia in Ambulatory Arthroscopic Knee Surgery and Anterior Cruciate Ligament Reconstruction: Part II: Adductor Canal Nerve Block-A Systematic Review and Meta-analysis. Anesth Analg. 2019;128(2):223–238. doi: 10.1213/ANE.00000000000025707
- Shaukat Y, Malik E, El-Khateeb H, Koeweiden E. The role of local anaesthesia in knee arthroscopy. J Orthop. 2013;10(4):193–195. doi: 10.1016/j.jor.2013.06.003
- Noyes FR, Fleckenstein CM, Barber-Westin SD. The Development of Postoperative Knee Chondrolysis After IntraArticular Pain Pump Infusion of an Anesthetic Medication. J Bone Joint Surg Am. 2012;94(16):1448–1457. doi: 10.2106/JBJS.K.01333
- El Ahl MS. Femoral nerve block versus adductor canal block for postoperative pain control after anterior cruciate ligament reconstruction: A randomized controlled double blind study. Saudi J Anaesth. 2015;9(3):279–282. doi: 10.4103/1658-354X.154708
- Espelund M, Fomsgaard JS, Haraszuk J, et al. Analgesic efficacy of ultrasound-guided adductor canal blockade after arthroscopic anterior cruciate ligament reconstruction: a randomised controlled trial. Eur J Anaesthesiol. 2013;30(7):422–428. doi: 10.1097/EJA.0b013e328360bdb9
- Tan M, Law LS, Gan TJ. Optimizing pain management to facilitate Enhanced Recovery After Surgery pathways. Can J Anesth. 2015;62(2):203–218. doi: 10.1007/s12630-014-0275-x
- Anger M, Valovska T, Beloeil H, et al. PROSPECT guideline for total hip arthroplasty: a systematic review and procedure-specific postoperative pain management recommendations. Anaesthesia. 2021;76(8):1082–1097. doi: 10.1111/anae.15498
- Ovechkin AM, Bayalieva AZ, Ezhevskaya AA, et al. Postoperative analgesia. Guidelines. Annals of Critical Care. 2019;(4):9–33. doi: 10.21320/1818-474X-2019-4-9-33
- Wunsch H, Wijeysundera DN, Passarella MA, Neuman MD. Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. JAMA. 2016;315(15):1654–1657. doi: 10.1001/jama.2016.0130
- Tetzlaff JE, Andrish J, O’Hara J Jr, et al. Effectiveness of bupivacaine administered via femoral nerve catheter for pain control after anterior cruciate ligament repair. J Clin Anesth. 1997;9(7):542–545. doi: 10.1016/s0952-8180(97)00141-4
- Astur DC, Aleluia V, Veronese C, et al. A prospective double blinded randomized study of anterior cruciate ligament reconstruction with hamstrings tendon and spinal anesthesia with or without femoral nerve block. Knee. 2014;21(5):911–915. doi: 10.1016/j.knee.2014.06.003
- Mall NA, Wright RW. Femoral nerve block use in anterior cruciate ligament reconstruction surgery. Arthroscopy. 2010;26(3):404–416. doi: 10.1016/j.arthro.2009.08.014
- Guirro UB, Tambara EM, Munhoz FR. Femoral nerve block: assessment of postoperative analgesia in arthroscopic anterior cruciate ligament reconstruction. Braz J Anesthesiol. 2013;63(6):483–491. doi: 10.1016/j.bjane.2013.09.001
- Frost S, Grossfeld S, Kirkley A, et al. The efficacy of femoral nerve block in pain reduction for outpatient hamstring anterior cruciate ligament reconstruction: a double-blind, prospective, randomized trial. Arthroscopy. 2000;16(3):243–248. doi: 10.1016/s0749-8063(00)90047-1
- Matava MJ, Prickett WD, Khodamoradi S, et al. Femoral nerve blockade as a preemptive anesthetic in patients undergoing anterior cruciate ligament reconstruction: a prospective, randomized, double-blinded, placebo-controlled study. Am J Sports Med. 2009;37(1):78–86. doi: 10.1177/0363546508324311
- Peng P, Claxton A, Chung F, et al. Femoral nerve block and ketorolac in patients undergoing anterior cruciate ligament reconstruction. Can J Anaesth. 1999;46(10):919–924. doi: 10.1007/BF03013124
- Williams BA, Kentor ML, Vogt MT, et al. Reduction of verbal pain scores after anterior cruciate ligament reconstruction with 2-day continuous femoral nerve block: a randomized clinical trial. Anesthesiology. 2006;104(2):315–327. doi: 10.1097/00000542-200602000-00018
- Okoroha KR, Keller RA, Marshall NE, et al. Liposomal bupivacaine versus femoral nerve block for pain control after anterior cruciate ligament reconstruction: a prospective randomized trial. Arthroscopy. 2016;32(9):1838–1845. doi: 10.1016/j.arthro.2016.05.033
- Wulf H, Löwe J, Gnutzmann KH, Steinfeldt T. Femoral nerve block with ropivacaine or bupivacaine in day case anterior crucial ligament reconstruction. Acta Anaesthesiol Scand. 2010;54(4):414–420. doi: 10.1111/j.1399-6576.2009.02200.x
- Harbell MW, Cohen JM, Kolodzie K, et al. Combined preoperative femoral and sciatic nerve blockade improves analgesia after anterior cruciate ligament reconstruction: a randomized controlled clinical trial. J Clin Anesth. 2016;(33):68–74. doi: 10.1016/j.jclinane.2016.02.021
- Gudmundsdottir S, Franklin JL. Continuous adductor canal block added to local infiltration analgesia (LIA) after total knee arthroplasty has no additional benefits on pain and ambulation on postoperative day 1 and 2 compared with LIA alone. Acta Orthop. 2017;88(5):537–542. doi: 10.1080/17453674.2017.1342184
- Luo TD, Ashraf A, Dahm DL, et al. Femoral nerve block is associated with persistent strength deficits at 6 months after anterior cruciate ligament reconstruction in pediatric and adolescent patients. Am J Sports Med. 2015;43(2):331–336. doi: 10.1177/0363546514559823
- Swank KR, DiBartola AC, Everhart JS, et al. The effect of femoral nerve block on quadriceps strength in anterior cruciate ligament reconstruction: a systematic review. Arthroscopy. 2017;33(5):1082.e1–1091.e1. doi: 10.1016/j.arthro.2017.01.034
- Widmer B, Lustig S, Scholes CJ, et al. Incidence and severity of complications due to femoral nerve blocks performed for knee surgery. Knee. 2013;20(3):181–185. doi: 10.1016/j.knee.2012.11.002
- Feller JA, Webster KE, Gavin B. Early post-operative morbidity following anterior cruciate ligament reconstruction: patellar tendon versus hamstring graft. Knee Surg Sports Traumatol Arthrosc. 2001;9(5):260–266. doi: 10.1007/s001670100216
- Tran DQ, Clemente A, Finlayson RJ. A review of approaches and techniques for lower extremity nerve blocks. Can J Anaesth. 2007;54(11):922–934. doi: 10.1007/BF03026798
- Kristensen PK, Pfeiffer-Jensen M, Storm JO, Thillemann TM. Local infiltration analgesia is comparable to femoral nerve block after anterior cruciate ligament reconstruction with hamstring tendon graft: a randomised controlled trial. Knee Surg Sports Traumatol Arthrosc. 2014;22(2):317–323. doi: 10.1007/s00167-013-2399-x
- Gi E, Yamauchi M, Yamakage M, et al. Effects of local infiltration analgesia for posterior knee pain after total knee arthroplasty: comparison with sciatic nerve block. J Anesth. 2014;28(5):696–701. doi: 10.1007/s00540-014-1793-y
- Bauer MC, Pogatzki-Zahn EM, Zahn PK. Regional analgesia techniques for total knee replacement. Curr Opin Anaesthesiol. 2014;27(5):501–506. doi: 10.1097/ACO.0000000000000115
- Yung EM, Brull R, Albrecht E, et al. Evidence Basis for Regional Anesthesia in Ambulatory Anterior Cruciate Ligament Reconstruction: Part III: Local Instillation Analgesia — A Systematic Review and Meta-analysis. Anesth Analg. 2019;128(3):426–437. doi: 10.1213/ANE.0000000000002599
- Abdallah FW, Brull R, Joshi GP; Society for Ambulatory Anesthesia (SAMBA). Pain management for ambulatory arthroscopic anterior cruciate ligament reconstruction: evidence-based recommendations from the society for ambulatory anesthesia. Anesth Analg. 2019;128(4):631–640. doi: 10.1213/ANE.0000000000003976
- Manickam B, Perlas A, Duggan E, et al. Feasibility and efficacy of ultrasound-guided block of the saphenous nerve in the adductor canal. Reg Anesth Pain Med. 2009;34(6):578–580. doi: 10.1097/aap.0b013e3181bfbf84
- Chisholm MF, Bang H, Maalouf DB, et al. Postoperative analgesia with saphenous block appears equivalent to femoral nerve block in ACL reconstruction. HSS J. 2014;10(3):245–251. doi: 10.1007/s11420-014-9392-x
- Stebler K, Martin R, Kirkham KR, et al. Adductor canal block versus local infiltration analgesia for postoperative pain after anterior cruciate ligament reconstruction: a single centre randomised controlled triple-blinded trial. Br J Anaesth. 2019;123(2):e343–e349. doi: 10.1016/j.bja.2019.04.053
- Xie Y, Sun Y, Lu Y. Effect of Adductor Canal Block Combined with Local Infiltration Analgesia on Postoperative Pain of Knee Arthroscopy Under General Anesthesia: A Randomized Controlled Trial. Pain Ther. 2023;12(2):543–552. doi: 10.1007/s40122-023-00482-5