• Br J Anaesth · Feb 2025

    Review

    Motor-sparing regional anaesthesia for total knee arthroplasty: a narrative and systematic literature review.

    • Leigh White, Michael Kerr, Christopher Thang, and Amit Pawa.
    • Department of Anaesthesia and Perioperative Medicine, Sunshine Coast University Hospital, Sunshine Coast, QLD, Australia; School of Medicine & Dentistry, Griffith University, Sunshine Coast, QLD, Australia. Electronic address: leigh.white2@health.qld.gov.au.
    • Br J Anaesth. 2025 Feb 1; 134 (2): 510522510-522.

    AbstractTotal knee arthroplasty is a life-changing surgical procedure that is associated with a high incidence of severe postoperative pain. Key to enhancing recovery after surgery is effective analgesia and early mobilisation. Innovations in motor-sparing regional anaesthesia techniques that have improved recovery include targeted surgical local infiltration analgesia, adductor canal blockade, genicular nerve blocks, and the infiltration between the popliteal artery and posterior capsule of the knee (iPACK) block. This narrative review discusses the current available motor-sparing regional anaesthetic techniques and assesses the evidence supporting each.Copyright © 2024 British Journal of Anaesthesia. All rights reserved.

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