Continuous adductor canal block is a better choice compared to single shot after primary total knee arthroplasty: A meta-analysis of randomized controlled trials

Du, 2018, The efficacy and safety of parecoxib for reducing pain and opioid consumption following total knee arthroplasty: a meta-analysis of randomized controlled trials, Int. J. Surg., 59, 67, 10.1016/j.ijsu.2018.09.017 Beswick, 2012, What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients, BMJ. Open, 2, 10.1136/bmjopen-2011-000435 Paul, 2010, Femoral nerve block improves analgesia outcomes after total knee arthroplasty: a meta-analysis of randomized controlled trials, Anesthesiology, 113, 10.1097/ALN.0b013e3181f4b18 Kuang, 2016, Adductor canal block versus continuous femoral nerve block in primary total knee arthroplasty: a meta-analysis, Int. J. Surg., 31, 17, 10.1016/j.ijsu.2016.05.036 Elkassabany, 2016, The risk of falls after total knee arthroplasty with the use of a femoral nerve block versus an adductor canal block: a double-blinded randomized controlled study, Anesth. Analg., 122, 1696, 10.1213/ANE.0000000000001237 Zhang, 2019, Single shot versus continuous technique adductor canal block for analgesia following total knee arthroplasty: a PRISMA-compliant meta-analysis, Medicine (Baltim.), 98 Moher, 2009, Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement, PLoS Med., 6, 10.1371/journal.pmed.1000097 Higgins, 2011, Cochrane Bias Methods Group; Cochrane Statistical Methods Group. The cochrane collaboration's tool for assessing risk of bias in randomised trials, BMJ, 343, 10.1136/bmj.d5928 Canbek, 2019, Continuous adductor canal block following total knee arthroplasty provides a better analgesia compared to single shot: a prospective randomized controlled trial, Acta Orthop. Traumatol. Turcica, S1017–995X, 30500 Elkassabany, 2019, A prospective randomized open-label study of single injection versus continuous adductor canal block for postoperative analgesia after total knee arthroplasty, Bone Joint Lett. J, 101-B, 340, 10.1302/0301-620X.101B3.BJJ-2018-0852.R2 Kim, 2019, The analgesic efficacy of the continuous adductor canal block compared to continuous intravenous fentanyl infusion with a single-shot adductor canal block in total knee arthroplasty: a randomized controlled trial, Korean J. Pain, 32, 30, 10.3344/kjp.2019.32.1.30 Turner, 2018, Single-injection adductor canal block with multiple adjuvants provides equivalent analgesia when compared with continuous adductor canal blockade for primary total knee arthroplasty: a double-blinded, randomized, controlled, equivalency trial, J. Arthroplast., 33, 3160, 10.1016/j.arth.2018.05.026 Lee, 2018, A randomized non-inferiority trial of adductor canal block for analgesia after total knee arthroplasty: single injection versus catheter technique, J. Arthroplast., 33, 1045, 10.1016/j.arth.2017.11.018 Li, 2017, Effect of continuous and single shot adductor canal blocks for postoperative analgesia and early rehabilitation after total knee arthroplasty, Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, 31, 1049 Shah, 2015, Adductor canal blockade following total knee arthroplasty-continuous or single shot technique? Role in postoperative analgesia, ambulation ability and early functional recovery: a randomized controlled trial, J. Arthroplast., 30, 1476, 10.1016/j.arth.2015.03.006 Zhang, 2018, The prolonged analgesic efficacy of an ultrasound-guided single-shot adductor canal block in patients undergoing total knee arthroplasty, Orthopedics, 1, e607 Gao, 2017, Adductor canal block versus femoral nerve block for analgesia after total knee arthroplasty: a systematic review and meta-analysis, Clin. J. Pain, 33, 356, 10.1097/AJP.0000000000000402 Kim, 2018, Cost-effective peri-operative pain management: assuring a happy patient after total knee arthroplasty, Bone Joint Lett. J, 100-B, 55, 10.1302/0301-620X.100B1.BJJ-2017-0549.R1 Bonnet, 2010, Analgesic efficacy and adverse effects of epidural morphine compared to parenteral opioids after elective caesarian section: a systematic review, Eur. J. Pain, 14, e891, 10.1016/j.ejpain.2010.03.003 Labraca, 2011, Benefits of starting rehabilitation within 24 hours of primary total knee arthroplasty: randomized clinical trial, Clin. Rehabil., 25, 557, 10.1177/0269215510393759