Journal of Tissue Engineering and Reconstructive Surgery ›› 2023, Vol. 19 ›› Issue (1): 64-.

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Efficacy of ultrasound-guided femoral nerve block combined with infiltration between the popliteal artery and capsule of the posterior knee block (IPACK) in analgesia after anterior cruciate ligament reconstruction

  

  • Online:2023-02-01 Published:2023-03-08

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Abstract:

　Objective　To investigate the efficacy of ultrasound-guided femoral nerve block (FNB) combined with infiltration
between the popliteal artery and capsule of the posterior knee block (IPACK) in analgesia after anterior cruciate ligament
reconstruction. Methods　From January 2021 to March 2022, 80 patients undergoing anterior cruciate ligament reconstruction
were selected and divided into two groups by random number table method. The control group was treated with ultrasound-guided
FNB, and the observation group was treated with ultrasound-guided FNB combined with IPACK block. The dosage of sufentanil,
the number of PCIA compressions, the proportion of salvage analgesia, the degree of postoperative pain, the range of motion of
knee joint, the muscle strength of lower limb, the longest walking distance, the leaving bed time and the adverse reactions of the
two groups were compared. Results　The dosage of sufentanil, times of PCIA pressing, proportion of salvage analgesia and the
leaving bed time in the observation group were all lower than those in the control group (P<0.05). Postoperative VAS scores at
rest and activity were gradually decreased in both groups (P<0.05), postoperative knee joint range of motion, triceps calf muscle
strength, quadriceps femoris muscle strength and the longest walking distance were gradually increased (P<0.05). VAS score of
T0-4 activity in the observation group was lower than that in the control group (P<0.05), the knee joint range of motion and longest
walking distance were higher than those in the control group (P<0.05). There were no statistically significant differences in VAS
score at rest, triceps muscle strength and quadriceps muscle strength between the two groups (P>0.05). There was no significant
作者单位 ：236800　安徽省亳州市　亳州市人民医院麻醉科。? 65 ?
组织工程与重建外科 2023 年 2 月 第 19 卷第 1 期
difference in the incidence of complications between the two groups (P>0.05). Conclusion　Compared with FNB, ultrasound
guided FNB combined with IPACK has a satisfactory analgesic effect after anterior cruciate ligament reconstruction, which is
conducive to early postoperative rehabilitation and exercise

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