{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:18:39Z","timestamp":1785410319790,"version":"3.56.0"},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T00:00:00Z","timestamp":1490659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T00:00:00Z","timestamp":1490659200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T00:00:00Z","timestamp":1490659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the isokinetic, functional, and patient\u2010reported outcomes of femoral nerve block (FNB) compared with traditional multimodal anesthesia for FNB in anterior cruciate ligament (ACL) reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature, Cochrane Reviews, and Google Scholar was conducted according to the 2009 Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines. Effects of FNB on quadriceps function were evaluated by isokinetic testing, functional scoring systems, range of motion, and patient self\u2010report questionnaires. Heterogeneous reporting of outcomes precluded a formal meta\u2010analysis. The methodologic merit of all studies included was evaluated by the Coleman Methodology Score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six studies were identified with outcome measures reported between 7\u00a0days and 6\u00a0months postoperatively. At 6\u00a0months, 2 of 4 studies that reported isokinetic testing found significantly greater deficits among patients who received a nerve block; one of the remaining studies showed a deficit at 6\u00a0weeks but not 6\u00a0months. Limited data showed no significant differences in functional or patient\u2010reported outcomes at 6\u00a0months after reconstruction, and data regarding the impact of FNB on return to sport were inconclusive. The mean Coleman Methodology Score for the included studies was 53, indicating poor overall methodologic quality of the available literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The limited data available suggest that FNB causes a measurable deficit in quadriceps isokinetic strength during the early postoperative period but has no effect on functional outcomes or return to sport at 6\u00a0months after ACL reconstruction. However, current clinical evidence is not sufficient to draw any valid or definitive conclusions regarding the effect of FNB on postoperative outcomes after ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systemic review of Level I through IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.01.034","type":"journal-article","created":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T09:26:14Z","timestamp":1490693174000},"page":"1082","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":34,"title":["The Effect of Femoral Nerve Block on Quadriceps Strength in Anterior Cruciate Ligament Reconstruction: A Systematic Review"],"prefix":"10.1002","volume":"33","author":[{"given":"Katherine R.","family":"Swank","sequence":"first","affiliation":[{"name":"College of Medicine The Ohio State University Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex C.","family":"DiBartola","sequence":"additional","affiliation":[{"name":"College of Medicine The Ohio State University Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua S.","family":"Everhart","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Wexner Medical Center The Ohio State University Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher C.","family":"Kaeding","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Wexner Medical Center The Ohio State University Columbus Ohio U.S.A."},{"name":"OSU Sports Medicine The Ohio State University Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Magnussen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Wexner Medical Center The Ohio State University Columbus Ohio U.S.A."},{"name":"OSU Sports Medicine The Ohio State University Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Flanigan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Wexner Medical Center The Ohio State University Columbus Ohio U.S.A."},{"name":"OSU Sports Medicine The Ohio State University Columbus Ohio U.S.A."},{"name":"Cartilage Restoration Program The Ohio State University Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,28]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3364-z"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19980701-07"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300620"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2009.08.006"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2399-x"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90191-4"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-6576.2003.470104.x"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.08.023"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199912000-00030"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0b013e31819baf98"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/rapm.2003.50019"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199006000-00028"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511423639"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2009.06.006"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)04149-5"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200512000-00006"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jts.2011.04.002"},{"key":"e_1_2_4_19_2","unstructured":"Magnussen RA Pottkotter K Stasi SD et\u00a0al. 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