Delayed use of Adductor Canal Block for TKA.

Presenting Author - Taimoor Sehgol
Total knee arthroplasty (TKA) is an effective intervention in managing end stage degenerative disease of the knee joint. The ideal analgesic regime balances optimal postoperative pain control with preservation of motor function to allow early mobilization and recovery in fast track TKA management, and as yet, there is no consensus on the optimal management of postoperative pain. Peripheral nerve blocks are increasingly preferred to relieve postoperative pain and to reduce opioid consumption and opioid‐related adverse effects in patients undergoing orthopedic procedures. The Adductor canal block (ACB) is a relatively new form of postoperative pain management, with the benefit of avoiding quadriceps muscle weakness and falls risk associated with Femoral nerve blocks but providing equally effective analgesia.