Analgesia patients scheduled for elective arthroscopic anterior crutiate ligament reconstruction with focus on popliteal plexus block and adductor canal block

Abstract

Anterior cruciate ligament (ACL) injuries are painful and incapacitating, and they are usually treated as outpatient surgical procedures employing an arthroscopic method. On the other hand, a lot of patients report that within the first 24 hours after ACL reconstruction (ACLR), they have excruciating postoperative pain. After anterior cruciate ligament repair, sapiens nerve block, or more frequently, adductor canal block (ACB), exhibits inconsistent outcomes for postoperative pain management. Maintaining or reducing the loss of quadriceps strength is the key advantage of ACB since it speeds up walking and recuperation after knee surgery. However, using it in ACLR has led to inconsistent outcomes. Leg weakness may result from adding a tibial nerve block, which may successfully cover the hamstring tendon graft region but raise the risk of falling. By using our approach, it is easier to conduct the combined adductor and PP block, which saves time for day-case surgery. All it takes is noting the location of the artery about the sartorius muscle to perform both blocks without altering the patient's posture.