Dual Subsartorial Block: An Analgesic Technique Targeting the Popliteal Plexus of the Knee in Anterior Cruciate Ligament Reconstruction—A Case Series

This case series (n = 8) investigated the dual subsartorial block (DSB) for anterior cruciate ligament (ACL) reconstruction. DSB provided robust postoperative analgesia, with most patients reporting visual analog scale (VAS) scores below 4 (rest and movement) throughout the first 24 hours. Opioid consumption was exceptionally low, with 5 patients requiring no rescue opioids. Crucially, motor function was largely preserved: 6 patients achieved a 5/5 Medical Research Council (MRC) score, and 2 achieved 4/5. No block-related complications were observed. These findings strongly advocate DSB as a highly effective, motor-sparing regional anesthetic strategy, significantly optimizing patient recovery and reducing opioid burden post-ACL surgery.

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Publication Details

Journal
A&A Practice
Published
2026-02-23
DOI
https://doi.org/10.1213/xaa.0000000000002143
Primary Topic
Anesthesia and Pain Management
Type
article
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0.00
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article

Dual Subsartorial Block: An Analgesic Technique Targeting the Popliteal Plexus of the Knee in Anterior Cruciate Ligament Reconstruction—A Case Series

Gina Coral, Carlos Galvis, Daniela Gómez, Felipe Diaz
A&A Practice
Anesthesia and Pain Management
article

Dual Subsartorial Block: An Analgesic Technique Targeting the Popliteal Plexus of the Knee in Anterior Cruciate Ligament Reconstruction—A Case Series

Gina Coral, Carlos Galvis, Daniela Gómez, Felipe Diaz
article en

Abstract

This case series (n = 8) investigated the dual subsartorial block (DSB) for anterior cruciate ligament (ACL) reconstruction. DSB provided robust postoperative analgesia, with most patients reporting visual analog scale (VAS) scores below 4 (rest and movement) throughout the first 24 hours. Opioid consumption was exceptionally low, with 5 patients requiring no rescue opioids. Crucially, motor function was largely preserved: 6 patients achieved a 5/5 Medical Research Council (MRC) score, and 2 achieved 4/5. No block-related complications were observed. These findings strongly advocate DSB as a highly effective, motor-sparing regional anesthetic strategy, significantly optimizing patient recovery and reducing opioid burden post-ACL surgery.

A&A PracticeVol. 20(3)
University Foundation (BE), Hospital Universitario Infantil San José (CO)
Good health and well-being
Openalex Percentile: Top 47%
Anesthesia and Pain Management
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