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Adductor canal block to manage flexion contracture deformity (FCD) of knee before total knee replacement (TKR) ‐ a case report by Ashok, Jadon; Pavan, Sudarshan; Neelam, Sinha; Swastika, Chakraborty is a Medicine article available to read on EtoBox.

What is Adductor canal block to manage flexion contracture deformity (FCD) of knee before total knee replacement (TKR) ‐ a case report about?

## Abstract ## Background The fixed contracture deformity (FCD) which is often present in patients awaiting total knee replacement (TKR) affects the surgical outcome. Therefore, it is necessary to reduce the severity of the FCD before the TKR surgery. Physiotherapy, including active stretching and exercise to increase range of motion are commonly practiced techniques. However, due to the presence of pain, patients are often unable to cooperate and perform exercise up-to the desired levels. We used continuous adductor canal block (CACB) in two patients with severe FCD scheduled for TKR surgery to decrease their pain during physiotherapy and to help them in increasing their range of motion to achieve early fitness for surgery. This approach is not documented and published earlier in the medical literature. ## Case presentation Two female patients aged 58 and 68 years were scheduled for TKR surgery with severe flexion contracture deformity of both limbs (70°–90°). Due to severe contracture deformity surgeon suggested improvement in ROM before surgery. Ultrasound-guided adductor canal block was given, and catheters were inserted in the adductor canal. Continuous infusion of local anest

Who reads Adductor canal block to manage flexion contracture deformity (FCD) of knee before total knee replacement (TKR) ‐ a case report?

Author

Ashok, Jadon; Pavan, Sudarshan; Neelam, Sinha; Swastika, Chakraborty

Publisher

Springer (Biomed Central Ltd.); Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 2090-925X)

Published

2020

Language

EN

Field

Medicine (Health Sciences)