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Femoral nerve block in knee joint surgery

Manly District Hospital, North Sydney Community Hospital, North Harbour Private Hospital, and Longueville Private Hospital, Sydney, Australia

Mervyn J. Cross, MBBS, FRACS

Manly District Hospital, North Sydney Community Hospital, North Harbour Private Hospital, and Longueville Private Hospital, Sydney, Australia

Assessment is made of the effectiveness of femoral nerve block, administered either before or after surgery, in supplementing postoperative analgesia for knee joint (anterior cruciate) reconstruction surgery.

Femoral nerve block, performed before surgery, with Bupivacaine 0.5%, reduced intramuscular opiate ad ministration by 80% in the recovery room and 40% in the first 24 postoperative hours.

An effective and rapidly performed technique for fem oral nerve block is described.

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