{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T12:20:31Z","timestamp":1767183631024,"version":"build-2065373602"},"reference-count":13,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T00:00:00Z","timestamp":1624320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Catheter dislocation with continuous peripheral nerve blocks represents a major problem in clinical settings. There is a range of factors affecting the incidence of catheter dislocation, including catheter type. This study aimed to assess the incidence of suture-method catheter (SMC) dislocation 24 h after total knee arthroplasty (TKA), with continuous femoral nerve block (CFNB) and continuous femoral triangle block (CFTB), respectively. In the prospective randomized trial, 40 patients qualified for TKA with SMC and were divided into two groups, those who received CFNB (Group 1, n = 20) and those who received CFTB (Group 2, n = 20). After 24 h, the degree of catheter displacement (cm), pain intensity (NRS) and opioid consumption (mg) was assessed. The catheter dislocation rates were found to be 15% in Group 1 versus 5% in Group 2, with the catheter dislocated by 0.83 cm (SD = \u00b10.87) and 0.43 cm (SD = \u00b10.67), respectively. There were no differences in NRS score (p = 0.86) or opioid consumption (p = 0.16) between the groups. In each case, a displaced catheter was successfully repositioned by pulling, which clinically resulted in a lower NRS score. The results of the study suggest that CFTB with SMC may be used after TKA with a good effect, as it is associated with low catheter dislocation rates and an adequate analgesic effect.<\/jats:p>","DOI":"10.3390\/ijerph18136687","type":"journal-article","created":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T13:02:10Z","timestamp":1624366930000},"page":"6687","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Incidence of Suture-Method Catheter Dislocation with Femoral Nerve Block and Femoral Triangle Block after Total Knee Arthroplasty"],"prefix":"10.3390","volume":"18","author":[{"given":"Bulat","family":"Tuyakov","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Regional Specialist Teaching Hospital, 10-719 Olsztyn, Poland"},{"name":"Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, University of Warmia and Mazury, 10-719 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mateusz","family":"Kruszewski","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Regional Specialist Teaching Hospital, 10-719 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidia","family":"Glinka","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, University of Warmia and Mazury, 10-719 Olsztyn, Poland"},{"name":"Department of Anaesthesiology and Intensive Care, Teaching University Hospital, 10-082 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oksana","family":"Klonowska","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Faculty of Medicine, University of Warmia and Mazury, 10-719 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michal","family":"Borys","sequence":"additional","affiliation":[{"name":"2nd Department of Anesthesiology and Intensive Care, Medical University of Lublin, 20-081 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8529-484X","authenticated-orcid":false,"given":"Pawel","family":"Piwowarczyk","sequence":"additional","affiliation":[{"name":"2nd Department of Anesthesiology and Intensive Care, Medical University of Lublin, 20-081 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dariusz","family":"Onichimowski","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Regional Specialist Teaching Hospital, 10-719 Olsztyn, Poland"},{"name":"Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, University of Warmia and Mazury, 10-719 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1093\/bja\/aet198","article-title":"Dislocation rates of perineural catheters: A volunteer study","volume":"111","author":"Marhofer","year":"2013","journal-title":"Br. J. Anaesth."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1093\/bja\/aew172","article-title":"Displacement of popliteal sciatic nerve catheters after major foot and ankle surgery: A randomized controlled double-blinded magnetic resonance imaging study","volume":"117","author":"Hauritz","year":"2016","journal-title":"Br. J. Anaesth."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1093\/bja\/aeu064","article-title":"Factors affecting perineural catheter dislocation rates","volume":"112","author":"Francis","year":"2014","journal-title":"Br. J. Anaesth."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/anae.13053","article-title":"A novel suture method to place and adjust peripheral nerve catheters","volume":"70","author":"Rothe","year":"2015","journal-title":"Anaesthesia"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1111\/anae.14814","article-title":"Comparison of the analgesic effect of an adductor canal block using a new suture-method catheter vs. standard perineural catheter vs. single-injection: A randomised, blinded, controlled study","volume":"74","author":"Lyngeraa","year":"2019","journal-title":"Anaesthesia"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1097\/AAP.0000000000000406","article-title":"The analgesic effect of obturator nerve block added to a femoral triangle block after total knee arthroplasty\u2014A randomized controlled trial","volume":"41","author":"Runge","year":"2016","journal-title":"Reg. Anesth. Pain Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1097\/ACO.0000000000000641","article-title":"New blocks for the same old joints","volume":"31","author":"Sinha","year":"2018","journal-title":"Curr. Opin. Anaesthesiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1097\/AAP.0b013e318294fe4b","article-title":"Continuous Saphenous Nerve Block for Total Knee Arthroplasty: When and How?","volume":"38","author":"Moore","year":"2013","journal-title":"Reg. Anesth. Pain Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1097\/ALN.0000000000003145","article-title":"Suture-method versus Through-the-needle Catheters for Continuous Popliteal-sciatic Nerve Blocks","volume":"132","author":"Finneran","year":"2020","journal-title":"Anesthesiology"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1177\/0310057X1804600507","article-title":"Does a catheter over needle system reduce infusate leak in continu-ous peripheral nerve blockade: A randomised controlled trial?","volume":"46","author":"Edwards","year":"2018","journal-title":"Anaesth. Intensive Care"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1097\/AAP.0b013e3181d24529","article-title":"Ultrasound-guided continuous femoral nerve block for analgesia after total knee arthroplasty: Catheter perpendicular to the nerve versus catheter parallel to the nerve","volume":"35","author":"Wang","year":"2010","journal-title":"Reg. Anesth. Pain Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1111\/aas.13300","article-title":"Adductor canal block with a suture method catheter: A parallel or perpendicular approach?","volume":"63","author":"Lyngeraa","year":"2019","journal-title":"Acta Anaesthesiol. Scand."},{"key":"ref_13","unstructured":"Hulley, S.B. (2013). Designing Clinical Research, Lippincott Williams & Wilkins. [4th ed.]."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/13\/6687\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:20:36Z","timestamp":1760163636000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/13\/6687"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,22]]},"references-count":13,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2021,7]]}},"alternative-id":["ijerph18136687"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18136687","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2021,6,22]]}}}