{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T01:48:25Z","timestamp":1773712105387,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81802176"],"award-info":[{"award-number":["81802176"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81873500"],"award-info":[{"award-number":["81873500"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Patellar dislocation is a common injury in sports medicine. While surgical treatment is an important option, pain is severe after surgery. This study compared the analgesic effect and early rehabilitation quality between adductor canal block combined with general analgesia (ACB\u2009+\u2009GA) and single general analgesia (SGA) after recurrent patellar dislocation (RPD) for \u201c3\u2010in\u20101\u201d procedure surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From July 2018 to January 2020, a prospective randomized controlled trial was conducted in analgesia management after RPD for \u201c3\u2010in\u20101\u201d procedure surgery. The 40 patients in the experimental group received ACB (0.3% ropivacaine 30\u2009mL)\u2009+\u2009GA, while the 38 patients in the control group received SGA. Patients in both groups received \u201c3\u2010in\u20101\u201d procedure surgery, standardized anesthesia, and analgesia during hospitalization. The outcomes included the visual analog scale (VAS), quadriceps strength, Inpatient Satisfaction Questionnaire (IPSQ), Lysholm scores, and Kujala scores. Total rescue analgesic consumption and adverse events were also recorded. One\u2010way analysis of variance (ANOVA) was used to compare continuous variables between groups and chi\u2010square or Fisher's exact tests were used to compare count data. Nonparametric Kruskal\u2013Wallis H tests evaluated ranked data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No significant differences in resting VAS scores were observed at 8, 12, and 24\u00a0h postoperatively. However, the flexion and moving VAS scores of the ACB\u2009+\u2009GA group were significantly lower than those of the SGA group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Meanwhile, the first triggering of rescue analgesics was advanced in the SGA group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), and the dose of opioid analgesics was significantly higher (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). The quadriceps strength of the ACB\u2009+\u2009GA group was higher than that of the SGA group at 8\u2009h postoperatively. The IPSQ of the ACB\u2009+\u2009GA group was significantly higher 24\u2009h postoperatively. We observed no significant differences in Lysholm and Kujala scores between the two groups at 3\u2009months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early analgesia management of ACB\u2009+\u2009GA showed excellent analgesia effectiveness and a positive hospitalization experience for RPD patients undergoing \u201c3\u2010in\u20101\u201d procedure surgery. Moreover, this management was good for early rehabilitation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13706","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T05:15:02Z","timestamp":1684300502000},"page":"1636-1644","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Adductor Canal Block Combined with General Analgesia for Patients with Recurrent Patellar Dislocation Undergoing \u201c3\u2010in\u20101\u201d Procedure Surgery: A Prospective Randomized Controlled Trial"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6130-5842","authenticated-orcid":false,"given":"Yan","family":"Xiong","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuejie","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology West China Hospital of Sichuan University  Chengdu People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanjun","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology West China Hospital of Sichuan University  Chengdu People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B2.BJJ-2016-0256.R1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000001080"},{"issue":"4","key":"e_1_2_11_4_1","first-page":"1204","article-title":"High incidence of acute and recurrent 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