الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Knee surgeries are needed in a wide range of patients, from young athletes with anterior cruciate ligament injuries up to old patients with comorbidities presenting for arthroscopy up to total knee replacement procedures. The trend is fast track knee surgery with early ambulation and hospital discharge, so analgesic options of neuraxial blocks and main nerve blocks are less attractive due to the unavoidable muscle weakness. In this study, the benefit of pure sensory nerve block could be reached.
The study aimed to evaluate of the role of genicular nerve block when combined with adductor canal block for pain control following knee arthroscopy
Our study is a randomized, prospective, controlled study where 40 patients subjected to knee surgeries were randomized into two groups, group (A): patients in this group received ultrasound guided Adductor canal block only; group (B): under ultrasound guide, patients in this group received a combined adductor canal block and Genicular nerve block at the start of surgery.
Our study revealed that regardless of the good analgesic effect of ACB, patients who received a combination of ACB and GNB blocks have experienced a better pain control following surgery when compared to patients who received ACB alone.