Saphenous Nerve Block for Partial Meniscectomy
Saphenous Nerve Block for Partial Meniscectomy
Partial meniscectomy and meniscus repair are two of the most common orthopedic surgery
 procedures. As these procedures are being increasingly performed in ambulatory surgical
 centers, there has been a shift towards providing improved analgesia to ensure timely
 discharge, as well as preventing unwanted pain and side effects. As such, it has become
 common practice to use an intra-articular injection of local anesthetic to achieve
 post-operative pain control. However, these effects are short lived, requiring a multimodal
 approach to analgesia. To date, no optimal pain control strategy has been described for
 arthroscopic partial meniscectomy or meniscus repair. The purpose of this study is to examine
 the outcomes of subcutaneous saphenous nerve block with 0.5% ropivacaine at the medial
 femoral epicondyle/adductor hiatus plus portal 0.5% ropivacaine injection vs portal 0.5%
 ropivacaine injection alone for patients undergoing arthroscopic partial meniscectomy or
 meniscus repair.
Inclusion Criteria:

 -  Age ≥ 18

 -  Scheduled for arthroscopic meniscectomy or meniscus repair

 Exclusion Criteria:

 -  Multiple-ligament injury

 -  Primary ACL reconstruction or ACL revision reconstruction

 -  Articular cartilage restoration surgery

 -  Evidence of microfracture

 -  History of allergy to local anesthetics

 -  Pre-existing saphenous neuropathy

 -  Unable to be prescribed opioids due to allergy or other reason