Howell Richard, Hill Brenton, Hoffman Christopher, Treacy Erin, Mulcahey Mary K
Department of Orthopaedic Surgery (R.H. and M.K.M.) and Department of Anesthesiology & Perioperative Medicine (C.H. and E.T.), Drexel University College of Medicine, Hahnemann University Hospital, Philadelphia, Pennsylvania.
Drexel University College of Medicine, Philadelphia, Pennsylvania.
JBJS Rev. 2016 Dec 6;4(12). doi: 10.2106/JBJS.RVW.16.00003.
Peripheral nerve blocks are an often-utilized and efficacious method of analgesia for orthopaedic surgery about the knee. Benefits include decreased pain and narcotic use, increased participation in postoperative physical therapy, and decreased length of hospital stay. Adductor canal blocks have the advantage of preserving quadriceps function for early postoperative range of motion and walking. The risk of serious complications resulting from a peripheral nerve block is relatively low, ranging from 0% to 3%.
外周神经阻滞是一种常用于膝关节周围骨科手术的有效镇痛方法。其益处包括减轻疼痛和减少麻醉药物使用、增加术后物理治疗的参与度以及缩短住院时间。内收肌管阻滞具有保留股四头肌功能以利于术后早期活动范围和行走的优势。外周神经阻滞导致严重并发症的风险相对较低，范围在0%至3%之间。
