Retrospective Study
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Oct 18, 2018; 9(10): 198-202
Published online Oct 18, 2018. doi: 10.5312/wjo.v9.i10.198
Reducing costly falls after total knee arthroplasty
Quanjun Cui, Wendy Novicoff, Surajudeen Adebola Bolarinwa
Surajudeen Adebola Bolarinwa, Wendy Novicoff, Quanjun Cui, Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA 22903, United States
Author contributions: Bolarinwa SA, Novicoff W and Cui Q contributed to the paper; all authors have approved this manuscript prior to submission and believe that this manuscript represents honest work.
Institutional review board statement: At our institution, this study meets criteria for exemption from IRB review.
Informed consent statement: Informed consent is not necessary, for this is a quality improvement study.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Surajudeen Adebola Bolarinwa, MD, Doctor, Resident Physician, Department of Orthopaedic Surgery, University of Virginia Health System, 400 Ray C Hunt Dr. #300, Charlottesville, VA 22903, United States. sb3dv@hscmail.mcc.virginia.edu
Telephone: +1-919-3320966 Fax: +1-434-2431673
Received: May 29, 2018
Peer-review started: May 29, 2018
First decision: June 6, 2018
Revised: July 6, 2018
Accepted: July 14, 2018
Article in press: July 15, 2018
Published online: October 18, 2018
Processing time: 142 Days and 15.4 Hours
Core Tip

Core tip: When compared to femoral nerve block, adductor canal nerve block (ACB) contributed to fewer patient falls after total knee arthroplasty (TKA) at our institution from a rate of 1.3% to 0.13%. We also discovered a significant increase in fall rate after right TKA as compared to a left TKA. We recommend ACB as the preferred regional analgesia for the TKA procedure.