Adductor canal block cpt code

claims are only submitted for blocks performed for the purpose of post-operative analgesia, this outcome did not include any blocks that were administered solely as the intraoperative anesthetic. Femoral nerve single-injection block/catheter; this code encompasses high femoral nerve and adductor canal blocks: 64447/64448

The CPT code is 64450. Adductor Canal Block CPT Code The adductor canal block is a pain killer injection for pure sensory nerve block. This is injected after the knee surgery with a needle for post-treatment pain relief. The injection is administered to the specific site of nerve for greater effect. The CPT code is 64448.The nerves of the adductor canal and the innervation of the knee: An anatomic study. Regional Anesth Pain Med 2016; 41 (3): 321–7. [Google Scholar] Chen J, Lesser J B, Hadzic A, Reiss W, Resta-Flarer F.. Adductor canal block can result in motor block of the quadriceps muscle. Regional Anesth Pain Med 2014; 39 (2): 170–1.Adductor Canal Catheter Placement: The adductor canal block is performed in the upper thigh slightly caudal to the end of the femoral triangle in the proximal ... For more information for clinicians and product code ordering information, please visit: avanospainmanagement.com Call 1-800-448-3569 in the United States and Canada.We hypothesized that genicular nerve blockade added to an existing block regimen in total knee arthroplasty would result in a reduction in 24 hours opioid consumption. Methods: ... infiltration between the popliteal artery and capsule of the knee with 0.2% ropivacaine, and postoperative adductor canal perineural infusion with 0.2% ropivacaine ...In this video, Dr. Don Pang beautifully demonstrates a continuous adductor canal block using the Pajunk catheter set. This is a great technique to use to en...The adductor canal (Hunter's canal, subsartorial canal) is a narrow conical tunnel located in the thigh.. It is approximately 15cm long, extending from the apex of the femoral triangle to the adductor hiatus of the adductor magnus. The canal serves as a passageway from structures moving between the anterior thigh and posterior leg.. In this article, we shall look at the anatomy of the ...

Anyone know the correct cpt code for infraclavicular block for post-op pain? Thanks.. N. NIENAJADLY Networker. Messages 70 Location Orlando, FL Best answers 0. May 12, 2009 #2 64415 . N. nyyankees True Blue. Messages 1,271 Location Smithtown, NY Best answers 0. May 12, 2009 #3 THANK YOU VERY MUCH .Adductor canal block (ACB) is ever contributing an approach to femoral nerve block after TKA. ACB is usually conducted under ultrasound machines and local anesthetic is injected nearby the saphenous nerve in the adductor canal [3, 4]. However, ACB cannot lead to a relieved posterior knee pain [5, 6]. The recent ultrasound technique …Background: Several studies have suggested that the addition of iPACK block (the popliteal artery and the posterior knee capsule have been given interspace local anesthetic infiltration) might get better analgesia than adductor canal block (ACB) only after total knee arthroplasty (TKA). This paper compiles all available evidence on the effect of two analgesia regimens (ACB and iPACK + ACB ...May 24, 2022 ... ... Code. Procedure Description. Effective Date. End Date. Units. OPH. 53425 ... CANAL; WITHI RETENTION OF DEVICE OR STENT 1/1/2012. 12/31/2382. 1.What is an ipack block CPT code? The IPACK block is directed at a tissue plane, not at a specific nerve. Currently, there is no specific CPT code to report an IPACK block. Therefore, code 64999, Unlisted procedure, nervous system, should be reported. ... What is a adductor canal block? How is a tap block performed?The subsartorial saphenous nerve block (SSNB) aims to anesthetize the medial aspect of the leg, ankle, and midfoot. It is commonly performed as an adjunct to the sciatic nerve block for lower leg surgery. The adductor canal block (ACB) is similar to the subsartorial saphenous nerve block, as the injection occurs in the same anatomical space.

Methodology of ultrasound-guided adductor canal block. a Identification of the adductor canal entry via sonography; the image shows the medial border of the sartorius muscle intersecting the medial border of the adductor longus. The adductor canal entry is lateral to the femoral artery (white arrow). b Local anesthetic (0.25% levobupivacaine at 5 mL) was injected.Adductor canal block (ACB) has been suggested as an analgesic alternative to femoral nerve block (FNB) for procedures on the knee, but its effect on quadriceps motor function is unclear.ADDUCTOR CANAL BLOCK Page 2 of 4 These images are for general guidance only and not to be interpreted as precise anatomical illustration or construed as a specific recommendation of Avanos Medical. Occasionally additional fascial layers appear during injection. Penetrate the fascial layers so that the catheter is placed in the adductor canal.Use 4 post-op block FAQs to strengthen your coding, protect your revenue Post-op blocks are a major source of revenue for anesthesia practices, but the rules confuse providers and coders, putting their claims at risk. Share the following four questions from a recent APCPS post-op blocks webinar to prevent denials that can't be appealed:

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The adductor canal block (ACB) is effective for treating postoperative pain during arthroscopic knee surgery, but its impact on anesthesia course and the optimal administration timing are unknown. This retrospective study addressed these questions. The aim of this study was to compare the effects of preoperative ACB and postoperative ACB on anesthesia course and postoperative recovery.Background: Adductor canal blocks (ACBs) are commonly employed in multimodal pain control for total knee arthroplasty (TKA) and minimize motor blockade compared with femoral nerve blocks. Quadriceps weakness may be associated with ACBs. The purpose of this study was to quantify the prevalence of clinically relevant quadriceps weakness after a single-shot ACB and to identify the factors that ...Purpose This study aimed to compare the combination of a lateral femoral cutaneous nerve (LFCN) block with a femoral nerve block (FNB) and an adductor canal block (ACB) for postoperative pain control in patients undergoing anterior cruciate ligament (ACL) reconstruction with hamstring autograft. Methods A non-randomized, prospective, …To compare effect of combined block of adductor canal block (ACB) with IPACK (Interspace between the Popliteal Artery and the Capsule of the posterior Knee) and adductor canal block (ACB) alone on Total knee replacement in immediate postoperative rehabilitation. Int J Ortod Sci. 2017;3: 141. , [Google Scholar]

The Adductor Canal. The position of the saphenous nerve in the adductor canal has been well described, originally by Mansour 7 and later revisited by Hornet al. 8 Gray et al who published an earlier description of ultrasound guided sub-sartorial saphenous block 9. The adductor canal, also known as Hunter’s canal or the sub-sartorial canal, is ... The advantage of the adductor canal block is sparing of the motor fibers to the quadriceps muscles thus preserving muscle strength following knee surgery and allowing early ambulation and rehabilitation as compared to conventional femoral nerve block. The single shot injection approach, in plane or out of plane, is the same as for saphenous ...If local anesthetics spread to the proximal FT or popliteal fossa, it will block the femoral nerve or sciatic nerve, resulting in quadriceps weakness or foot drop [5,61, 145, 151]. Chen et al ...proximal opening of the adductor canal as the site where the medial border of the sartorius intersects the medial border of the adductor longus.9 11 The distal femoral triangle is located superior to this landmark and the proximal adductor canal lies inferiorly. Distally, the adductor canal has been demarcated as the site where the femoral arteryAdductor canal block has emerged as a favourable element of multimodal analgesia regimens for total knee arthroplasty, due to the exclusive sensory blockade it provides. However, it is controversial as to whether a single shot or continuous technique adductor canal block is superior. This meta-analysis examined the effect of both these …Adductor canal block (ACB) is an alternative regional technique acts on multiple afferent sensory nerves within an aponeurotic tunnel in the middle-third of the thigh to extend pain treatment. Recent studies have reported that the analgesic effects of continuous ACB versus continuous FNB are equivalent after total knee replacement.Adductor canal blocks and catheters: There is no specific "adductor canal block" CPT code. However, this procedure has been described as a "selective femoral" (16) nerve block technique. Anatomically, the common approaches for "adductor canal" blocks describe insertion sites that are located within the femoral triangle and target ...Answer: CPT-4 coding challenge: Coding nerve blocks 64400-64455. April 4, 2022 / By Jean Stoner. We recently presented a CPT-4 coding challenge with an example of a trigger finger release. We’ll repeat the example and provide the answer. What CPT-4 code (s) should be assigned for this procedure? PREOPERATIVE DIAGNOSES: …The aim of this study was to compare the effect of 3 different volumes of local anesthetic (10, 20, and 30 mL) injected into the adductor canal on the vastus medialis and the vastus lateralis of the quadriceps femoris muscle evaluated by EMG. Our results suggest a strong association between volume and vastus medialis effects.Objectives: Proximal and distal (mid-thigh) ultrasound-guided continuous adductor canal block techniques have been described but not yet compared, and infusion benefits or side effects may be determined by catheter location. We hypothesized that proximal placement will result in faster onset of saphenous nerve anesthesia, without additional motor block, compared to a distal technique.

Jan 3, 2012 · Cutaneous innervation of the medial leg below the knee is provided by the saphenous nerve, a superficial terminal extension of the femoral nerve. Depending on the level of surgery, the addition of a saphenous nerve block may be required for surgery. Popliteal block alone is typically sufficient as anesthesia for the tourniquet pain, because ...

May 24, 2022 ... ... Code. Procedure Description. Effective Date. End Date. Units. OPH. 53425 ... CANAL; WITHI RETENTION OF DEVICE OR STENT 1/1/2012. 12/31/2382. 1.the femoral artery and vein to the adductor (Hunter's) canal. The femoral vessels travel posteriorly toward the popliteal fossa, while the saphenous nerve and descend-ing genicular branch of the femoral artery penetrate the vastoadductor membrane about 10 cm above the medial femoral epicondyle (Fig.1). At this point, the sa-Background: Currently, there remains a paucity of literature about the efficiency of proximal adductor canal block (PACB) versus distal adductor canal block (DACB) for pain management after total knee arthroplasty (TKA). The purpose of this study is to perform a randomized controlled trial to compare the efficiency of PACB versus DACB for early postoperative pain treatment after TKA.doi: 10.1097/MD.0000000000020776. Femoral nerve block (FNB) is considered the preferred analgesia after anterior cruciate ligament reconstruction (ACLR), but leads to weakness in the quadriceps muscles. Adductor canal block (ACB) is a new sensory block technique that effectively relieves postoperative pain while preserving quadriceps strength.Background: Periarticular injections (PAIs) are becoming a staple component of multimodal joint pathways. Motor-sparing peripheral nerve blocks, such as the infiltration between the popliteal artery and capsule of the posterior knee (IPACK) and the adductor canal block (ACB), may augment PAI in multimodal analgesic pathways for knee arthroplasty, but supporting literature remains rare.The anaesthetic effect of femoral triangle and adductor canal blocks depends on the level of injection along the femoral artery. It is clinically relevant to distinguish between (1) proximal femoral triangle block, (2) distal femoral triangle block, (3) proximal adductor canal block, and (4) distal adductor canal block (Fig. 61.1).The adductor canal block (ACB) targets the saphenous nerve, which is the sensory terminal branch of the femoral nerve that innervates the skin of the medial, anteromedial, and posteromedial aspects of the lower extremity from the distal thigh to the medial malleolus.Jan 30, 2017 ... ... blocks, any stage (List separately in addition to code for primary procedure) ... canal; without repair (List separately in addition to code for.The length of the adductor canal was 1.5 cm longer in males compared to females (95% CI, 1.00 to 2.25 cm) Conclusions AC blocks performed at mid-thigh or more proximal are outside the anatomical ...Best answers. 0. Aug 31, 2015. #3. The adductor canal is approach to the femoral nerve. The correct continuous code is 64448 (64447 for single injection). You can use 64448 for continuous infusion for the other, but, again, the fascia iliaca is the approach to the femoral nerve. The approach is through the iliopsoas muscle, through the fascia ...

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Objective: To evaluate the efficacy and safety of the addition of local infiltration analgesia (LIA) to adductor canal block (ACB) for pain control after primary total knee arthroplasty (TKA). Methods: Two reviewers independently searched for potentially relevant published studies using electronic databases, including PubMed® (1966 to June 2019), Embase® …Purpose Catheter-based adductor canal blocks are an effective pain management strategy for total knee arthroplasty. Nevertheless, catheter-based techniques may fail if the tip migrates because of leg movement. This observational study used ultrasound to measure the distance from the skin to the adductor canal (SAC). WeSubsartorial canal, Adductor canal or Hunter's canal. The Adductor canal is bounded anterolaterally by vastus medialis, anteromedially by sartorius and posteriorly by adductor magnus. The Adductor canal contains the femoral artery, femoral vein, saphenous nerve, nerve to vastus medialis and the posterior branch of the obturator nerve (see ...5. APC Codes: 5443: Level 3 Nerve Injections, 5431: Level 1 Nerve Procedures, 5441: Level 1 Nerve Injections 6. “ZZZ” are surgical codes, they are add-on codes that you must bill with another service. There is no post-operative work included in the MPFS payment 7. List of local Medicare carriers is not an exhaustive list. LCD Link .Targeted, motor-sparing regional techniques such as adductor canal blocks and posterior capsule infiltration (aka IPACK) provide good pain control while facilitating early ambulation and rehab. 1,2 However, many patients continue to experience significant pain after TKA, even when these two blocks are performed. This is not surprising, as the ...Femoral Nerve Blocks, use CPT Code 64447, Intercosta Nerve Block, use CPT Code 64420, 64421. 64447 Injection of anesthetic agent; femoral nerve, single Common ICD-10 Cross Over: M25.561 - M25.569 Pain in knee Z96.651 - Z96.659 Presence of artificial knee joint ...Background Local infiltration analgesia (LIA) and adductor canal block (ACB) provide postoperative analgesia for total knee arthroplasty (TKA). ACB blocks the saphenous nerve and has smaller impacts on quadriceps muscle weakness. ACB theoretically does not have enough analgesic effects on posterior sensory nerves. LIA may increase its analgesic effects on the posterolateral knee. The purpose ...Bilateral ultrasound-guided adductor canal blocks were performed on the thawed lower limbs of five fresh frozen human cadavers. The left and right lower cadaver limbs were randomised to receive or not receive a thigh tourniquet inflated to 300 mm Hg for 1 h. X-rays with iohexol radio-opaque dye were obtained in four views, and fiducial markers ... ….

Adductor canal block (ACB) is a popular pain management plan for those who underwent knee surgery compared to femoral block, especially because it has no negative effect on quadriceps muscle strength. It can also encourage patients to engage in a powerful and painless postoperative rehabilitation program (1, 2). ACB is an effective strategy as ...The use of ultrasound guidance for peripheral nerve blockade improves safety and reduces the risk of vascular puncture. 1 The rate of vascular puncture after femoral nerve blockade is 1.1%; 2 ultrasound-guided adductor canal block is considered safe, and vascular complications, including hematoma and pseudoaneurysm formation, appear to be rare. 3The adductor canal, also known as Hunter's canal or subsartorial canal, is a cone-shaped intermuscular passageway located in the distal two-thirds of the medial aspect of the thigh.This canal, which is approximately 8 to 15 cm long, extends from the apex of the femoral triangle to the adductor hiatus. It serves as a passageway for structures between the anterior thigh and the popliteal region.Aug 24, 2021 ... CPT/HCPCS codes covered by Utah State Medicaid may still require ... Comparison of adductor canal block and IPACK block (interspace between.Best answers. 0. Aug 18, 2017. #2. Per Medicare's NCCI Edits: " (2) If a physician injects the superior medial and lateral branches and inferior medial branches of the left genicular nerve, only one UOS of CPT code 64450 (Injection, anesthetic agent; other peripheral nerve or branch) may be reported regardless of the number of injections needed ...Comparison of adductor canal block and IPACK block (interspace between the popliteal artery and the capsule of the posterior knee) with adductor canal block alone after total knee arthroplasty: a prospective control trial on pain and knee function in immediate postoperative period. Eur J Orthop Surg Traumatol. 2018; 28 (7):1391–5.Explanation of Revision: Annual 2016 HCPCS Update. CPT code 64412 was deleted. The effective date of this revision is based on date of service. Revisions Due To CPT/HCPCS Code Changes; 10/01/2015 R3 07/15/15- The language and/or ICD-10-CM diagnoses were updated to be consistent with the current ICD-9-CM LCD’s language and …My physician has just started performing adductor canal continuous infusion pain blocks? How do I code it? Answer: The correct CPT code is 64448 (Injection, … Adductor canal block cpt code, The adductor canal block (ACB) targets the saphenous nerve, which is the sensory terminal branch of the femoral nerve that innervates the skin of the medial, anteromedial, and posteromedial aspects of the lower extremity from the distal thigh to the medial malleolus., Adductor canal block (ACB), a distal block of the femoral nerve performed in the mid-thigh, 9 is becoming an attractive alternative to FNB as the peripheral nerve block of choice for total knee arthroplasty. 10 By virtue of the distal anatomical location where it is performed, ACB offers an important advantage, namely preserving the strength of ..., Adductor canal block (ACB) is ever contributing an approach to femoral nerve block after TKA. ACB is usually conducted under ultrasound machines and local anesthetic is injected nearby the saphenous nerve in the adductor canal [3, 4]. However, ACB cannot lead to a relieved posterior knee pain [5, 6]. The recent ultrasound technique …, Adductor Canal block/Saphenous Nerve Block [QUOTE="sbslufkin, post: 438415, member: 485662"]I have billed Medicare (Novitas) for CPT 64447 WITH 76942 (Ultra Sound Guidance) and CPT 64448 WITH 76942 for POST OP pain after a Total Knee Replaceme... , All patients received ultrasound-guided popliteal sciatic block with 20 ml 0.5% ropivacaine and adductor canal block with 10 ml 0.375% ropivacaine. The peripheral nerve block success rate, sensory and motor block onset time, haemodynamic parameters, duration of post-operative analgesia and patient's satisfaction were recorded. ..., Adductor canal block (ACB) is a popular pain management plan for those who underwent knee surgery compared to femoral block, especially because it has no negative effect on quadriceps muscle strength. It can also encourage patients to engage in a powerful and painless postoperative rehabilitation program ( 1, 2 )., Purpose This study aimed to compare the combination of a lateral femoral cutaneous nerve (LFCN) block with a femoral nerve block (FNB) and an adductor canal block (ACB) for postoperative pain control in patients undergoing anterior cruciate ligament (ACL) reconstruction with hamstring autograft. Methods A non-randomized, prospective, controlled clinical trial was conducted. The FNB and ACB ..., Among these pain management methods, adductor canal block (ACB), which is regarded as a promising alternative to femoral nerve block (FNB), demonstrates gains in quadricep muscle strength and pain relief [6, 7]. The ACB blocks the vastus medialis and saphenous nerves, dominating the anterior and medial aspect of the knee joint., doi: 10.1097/MD.0000000000020776. Femoral nerve block (FNB) is considered the preferred analgesia after anterior cruciate ligament reconstruction (ACLR), but leads to weakness in the quadriceps muscles. Adductor canal block (ACB) is a new sensory block technique that effectively relieves postoperative pain while preserving quadriceps strength., Lower Extremity. Yi Zhang MD, PhD, MSc, in Pain Procedures in Clinical Practice (Third Edition), 2011. Technique. Block of saphenous nerve for entrapment neuropathy is often performed at the adductor canal because this is often the site of entrapment. A transsartorial approach is most frequently used. 6 The patient lies in the supine position, the sartorius muscle is palpated just above the ..., Adductor canal block is another nerve block technique that attracts the attention of scientific community nowadays because of its possible superiority over Femoral nerve block regarding mobility and muscle strength. Methods: This is a systematic review and meta-analysis of 33 studies, aiming to compare femoral nerve block with adductor canal ..., After the inclusion and exclusion criteria were applied, patients who received either a femoral nerve block or an adductor canal nerve block were identified using a combination of CPT codes (ie, 64447 and 64448) and PHD-specific charge codes. Patients who received any other type of PNB were excluded from analysis., Background: Adductor canal blocks (ACBs) are commonly employed in multimodal pain control for total knee arthroplasty (TKA) and minimize motor blockade compared with femoral nerve blocks. Quadriceps weakness may be associated with ACBs. The purpose of this study was to quantify the prevalence of clinically relevant quadriceps weakness after a single-shot ACB and to identify the factors that ..., Adductor canal block (ACB) is a popular pain management plan for those who underwent knee surgery compared to femoral block, especially because it has no negative effect on quadriceps muscle strength. It can also encourage patients to engage in a powerful and painless postoperative rehabilitation program (1, 2). ACB is an effective strategy as ..., nerve block [14-15]. The adductor canal block targets the saphenous nerve as it courses through the adductor canal that is the terminal branch of the femoral nerve composed mostly of sensory fibers. It provides sensory innervation to the medial, anteromedial, and posteromedial aspects of the lower extremity from the distal thigh to the medial ..., The anaesthetic effect of femoral triangle and adductor canal blocks depends on the level of injection along the femoral artery. It is clinically relevant to distinguish between (1) proximal femoral triangle block, (2) distal femoral triangle block, (3) proximal adductor canal block, and (4) distal adductor canal block (Fig. 61.1)., 3. The adductor canal block: a. Involves injection of local anaesthetic into the adductor canal deep to sartorius. b. Is useful after lower limb, foot and ankle surgery (usually in …, For example, adductor canal blocks are billed as femoral blocks and popliteal blocks are billed as sciatic blocks. It used to be that there was no specific code for a TAP block, but then four codes were added three years ago reflecting the four ways TAP blocks can be performed: unilaterally or bilaterally; single shot or continuous (64486 ..., Please refer to the Local Coverage Article: Billing and Coding: Peripheral Nerve Blocks (A57788) for documentation requirements that apply to the reasonable and necessary provisions outlined in this LCD. ... the following diagnoses code ranges in the "ICD-10 Codes that Support Medical Necessity" section of the LCD for CPT code 64450 were ..., Sankineani S., Reddy A., Kumar K., Eachmapti K., Reddy A. Comparative analysis of influence of adductor canal block and multimodal periarticular infiltration versus adductor canal block alone on pain and knee range of movement after total knee arthroplasty: a prospective non-randomized study. Musculoskel Surg. 2017; 102:173-177., Adductor canal blocks in conjunction with Exparel also had a statistically significant decrease in pain scores (2.2) versus femoral nerve blocks in conjunction with Exparel (4.8) or Exparel alone (4.3) (p-value < 0.008). There was no statistical significance when comparing any of the three groups in regards to active and, A "popliteal fossa" injection is reported with CPT code 64445 (sciatic nerve), whereas a "saphenous popliteal" is reported with CPT code 64450 (other peripheral nerve block). Nerve Blocks for Acute Pain Management: The Main Coding Challenge - Medac ... For example, adductor canal blocks are billed as femoral blocks and popliteal blocks ..., One recent example of an important change is reporting a genicular nerve block. Prior to 2020, this procedure was reported with CPT code 64450 - Injection, anesthetic agent; other peripheral nerve or branch (2019 Descriptor). Even though a genicular nerve block requires injection of three (3) nerve branches, previous coding guidance stated ..., Background: This study aimed to confirm the efficacy of ultrasound-guided adductor canal block (ACB) as a treatment option for medial knee pain caused by knee osteoarthritis (KOA). Methods: In total, 31 participants with medial knee pain due to KOA were randomized to either the ACB (ultrasound-guided ACB, n = 15) or placebo group (1 mL of 1% lidocaine, n = 16). The primary outcome was a ..., The adductor canal block (ACB) has recently gained popularity as an alternative to femoral nerve blockade due to the reduced incidence of quadriceps muscle weakness [2,12]. Several neural structures traverse the canal including the saphenous nerve and its infrapatellar branch, the nerve to the vastus medialis, the posterior branch of the ..., They were randomized into three groups: Group S - control group received adductor canal block with 30 mL saline, Group R - ropivacaine group received adductor canal block with 30 mL of 0.375% ropivacaine and Group RC - clonidine group received adductor canal block with 30 mL of 0.375% ropivacaine with clonidine 1 μg.kg −1. The primary ..., Nerve Block Injection CPT Codes. Below is a list of CPT codes as recommended by AMA CPT Assistant for reporting specific types of nerve blocks for pain management. Adductor canal block – 64447-64448. Fascia Iliaca block – 64450. Interscalene block – 64415. Lateral Branch Nerves – 64450. , The aim of this study was to compare the following three analgesic methods after Total knee arthroplasty (TKA): intravenous patient-controlled analgesia (IV-PCA), continuous adductor canal block (C-ACB), and intravenous patient-controlled analgesia combined with single shot adductor canal block (PCA + sACB). Records of 482 patients undergoing primary TKA from September 2019 to September 2020 ..., This protocol is not to be construed as a specific recommendation of Avanos Medical. ADDUCTOR CANAL BLOCK ... For more information for clinicians and product code ..., The adductor canal block should be performed near the mid thigh level. The goal is to place 10-20ml of local anesthetic lateral to the femoral artery in the adductor canal defined as the space lateral to the femoral artery between the sartorius and the vastus medialis muscles. The medial side of the femoral artery may be accessed by hydrodissection anterior to the femoral artery., Adductor canal block (ACB) is ever contributing an approach to femoral nerve block after TKA. ACB is usually conducted under ultrasound machines and local anesthetic is injected nearby the saphenous nerve in the adductor canal [3, 4]. However, ACB cannot lead to a relieved posterior knee pain [5, 6]. The recent ultrasound technique …, Purpose The aim of this study was to compare the following three analgesic methods after Total knee arthroplasty (TKA): intravenous patient-controlled analgesia (IV-PCA), continuous adductor canal block (C-ACB), and intravenous patient-controlled analgesia combined with single shot adductor canal block (PCA + sACB). Methods Records of 482 patients undergoing primary TKA from September 2019 to ..., adductor canal block. It is these muscular branches in the distal part of the adductor canal that can be stimulated using PNS and local anesthetic (LA) can be deposited for peri-operative analgesia.6 It is a common misconception that the only nerve in the adductor canal is the saphenous nerve which is purely sensory. There is ample evidence from