Regional anaesthesia

Continuous femoral nerve blocks versus adductor canal blocks for anterior cruciate ligament surgery: a double-blind, superiority randomized controlled trial

Reg Anesth Pain MedPublished Randomised controlled trial

Primary result · Average NRS pain scoresResult — go to the resultEstimated overall treatment effect −0.31 NRS points 95% CI −1.39 to 0.77

Authors' conclusion

CFNB was not superior to CACB on the primary pain outcome over 48 hours.

Study context

Population
Adults undergoing anterior cruciate ligament (ACL) reconstruction57 completed
Participants
60 adults
Comparison
Continuous femoral nerve block vs continuous adductor canal block
  • Continuous femoral nerve block (CFNB)n = 28
  • Continuous adductor canal block (CACB)n = 29reference
Primary endpoint
Average numeric rating scale (NRS) pain scores (linear mixed-effects repeated-measures model)
Follow-up
48 hours
Methodological detailssingle-center, double-blind, prospective, superiority
  • Single-center
  • Double-blind
  • Prospective
  • Superiority

Primary result

Average NRS pain scores · over 48 hours

Estimated overall treatment effect

−0.31 NRS points

95% CI −1.39 to 0.77

P = 0.58

As reported in the abstract

Secondary outcomes

OutcomeCFNBCACBEstimateP value
Current NRS pain score · POD0Lower for CFNB(95% CI 6.44×10-6 to 2.00)P = 0.02
Patients requiring >50 MME (exploratory analysis) · 48 hoursExploratory analysis5/2813/29(95% CI 0.08–0.93)P = 0.045
Patients requiring >50 morphine milligram equivalents (MME) (exploratory analysis) — Absolute risk difference
0.27
  • Patients requiring >50 MME (exploratory analysis): absolute risk difference 95% CI −0.08 to 0.54

Continuous passive motion (CPM) use or compliance, bolus volume, QoR-15

No differences

Original publication

Continuous femoral nerve blocks versus adductor canal blocks for anterior cruciate ligament surgery: a double-blind, superiority randomized controlled trial. Reg Anesth Pain Med. Published 21 July 2026. doi:10.1136/rapm-2026-107940

Composed by AI from the published abstract and checked against it. How Briefs are made →

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