Ramanujam Vendhan, DiMaria Stephen, Varma Vivek
Anesthesiology, Rhode Island Hospital/The Warren Alpert Medical School of Brown University, Providence, USA.
Cureus. 2023 Sep 1;15(9):e44550. doi: 10.7759/cureus.44550. eCollection 2023 Sep.
Arthroscopic knee anterior cruciate ligament (ACL) reconstruction is commonly performed as an outpatient surgery, where adequate pain control and early ambulation play key roles in recovery and discharge. Peripheral nerve blocks aid in this purpose. Blockade of the genicular nerves, the articular branches of the knee, has recently become popular for knee surgery. We report on four patients who underwent ACL reconstruction with ultrasound-guided genicular nerve blocks (GNBs) under general anesthesia. The blocks were reliably performed without any complications, and the patients experienced good pain control, reduced opioid intake, and timely discharge following the surgery. These findings necessitate future investigations into the use of GNBs in ACL reconstruction.
关节镜下膝关节前交叉韧带（ACL）重建通常作为门诊手术进行，充分的疼痛控制和早期活动对康复和出院起着关键作用。周围神经阻滞有助于实现这一目的。膝关节神经（膝部的关节分支）阻滞最近在膝关节手术中变得流行起来。我们报告了4例在全身麻醉下接受超声引导下膝关节神经阻滞（GNBs）进行ACL重建的患者。阻滞操作顺利，无任何并发症，患者术后疼痛得到良好控制，阿片类药物摄入量减少，并及时出院。这些发现使得有必要对GNBs在ACL重建中的应用进行进一步研究。
