Abstract
Abstract Local anaesthetic blockage of the saphenous nervewithin the adductor canal block hasevolved asa popular analgesic technique for operations around the knee. However, not all patients benefit equally, despite accurate placement
Highlights
Postoperative pain following operations around the knee, total knee joint replacement, has been a major challenge [1]
In 17 samples, the bifurcation of the saphenous nerve occurred in the distal third of the adductor canal, whereas in four cadavers the bifurcation occurred in the middle third of the adductor canal
The infrapatellar branch of the saphenous nerve was identified within the distal third of the canal in all samples except the one sample with a common trunk of the nerve to vastus medialis (NVM) and saphenous nerve, which did not have an infrapatellar branch. This is the first study to analyse the variations of the saphenous nerve within the adductor canal
Summary
Postoperative pain following operations around the knee, total knee joint replacement, has been a major challenge [1]. This pain affectsearly mobility, patient participation in rehabilitation and overall patient experience [1]. Optimal analgesia is essential to improve early function and satisfaction. A variety of analgesic modalities are available, including systemic analgesia and local topical therapies, such as icing, compression and bracing. For enhanced recovery after surgery, avoidance of systemic analgesics, opiates, is encouraged [2]. A full range of motion without the mechanical limitations of bracing is necessary
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