Effect of Genicular Nerve Block (GNB) on Pain in Lesions of the Knee Joint: A Meta-Analysis of Randomized Controlled Trials

Weiming Li,1,* Fenglian Xu,2,* Feng Chen,1 Lei Cao,1 Xiaohang Bao1 1Department of Anesthesiology, second Affiliated Hospital of Army Medical University, Chongqing, 400037, People’s Republic of China; 2Gynaecology and Obstetrics, second Affiliated Hospital of Army Medical University,...

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Main Authors: Li W, Xu F, Chen F, Cao L, Bao X
Format: Article
Language:English
Published: Dove Medical Press 2025-01-01
Series:Journal of Pain Research
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Online Access:https://www.dovepress.com/effect-of-genicular-nerve-block-gnb-on-pain-in-lesions-of-the-knee-joi-peer-reviewed-fulltext-article-JPR
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author Li W
Xu F
Chen F
Cao L
Bao X
author_facet Li W
Xu F
Chen F
Cao L
Bao X
author_sort Li W
collection DOAJ
description Weiming Li,1,* Fenglian Xu,2,* Feng Chen,1 Lei Cao,1 Xiaohang Bao1 1Department of Anesthesiology, second Affiliated Hospital of Army Medical University, Chongqing, 400037, People’s Republic of China; 2Gynaecology and Obstetrics, second Affiliated Hospital of Army Medical University, Chongqing, 400037, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiaohang Bao, Department of Anesthesiology, second Affiliated Hospital of Army Medical University, Chongqing, 400037, People’s Republic of China, Tel +13708328111, Email 6851950@qq.comAbstract: To explore the effect of genicular nerve block (GNB) on pain in lesions of the knee joint. Computerized searches of randomized controlled trials were conducted in PubMed, EMbase, Cochrane Library, and Web of Science, with a search time frame until January 2024. Methodological and experimental quality was assessed using the risk of bias assessment tool recommended by the Cochrane Handbook. A meta-analysis was conducted of the pain score (as the primary outcome measure) using Review Manager 5.4 and Stata 17. Thirteen studies involving a total of 731 patients were ultimately included. In the comparison of GNB and non-GNB, the analysis results of analgesic effects at all visits showed [SMD=− 0.51, 95% CI (− 0.89, − 0.14)]. Analysis of analgesic effects at a visit at 1 month showed [SMD=− 0.79, 95% CI (− 1.55, − 0.02)]. Subgroup analysis for the control group showed [SMD=− 4.07,9 5% CI (− 4.10, − 1.84)]. Currently, available evidence suggests that GNB may be an effective analgesic therapy and superior to other regimens in the treatment of lesions of the knee joint.Keywords: knee joint, pain, genicular nerve block, meta-analysis
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series Journal of Pain Research
spelling doaj-art-69832f59efbf4023a07c93247fb3cf3c2025-01-30T18:07:17ZengDove Medical PressJournal of Pain Research1178-70902025-01-01Volume 1851152299727Effect of Genicular Nerve Block (GNB) on Pain in Lesions of the Knee Joint: A Meta-Analysis of Randomized Controlled TrialsLi WXu FChen FCao LBao XWeiming Li,1,* Fenglian Xu,2,* Feng Chen,1 Lei Cao,1 Xiaohang Bao1 1Department of Anesthesiology, second Affiliated Hospital of Army Medical University, Chongqing, 400037, People’s Republic of China; 2Gynaecology and Obstetrics, second Affiliated Hospital of Army Medical University, Chongqing, 400037, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiaohang Bao, Department of Anesthesiology, second Affiliated Hospital of Army Medical University, Chongqing, 400037, People’s Republic of China, Tel +13708328111, Email 6851950@qq.comAbstract: To explore the effect of genicular nerve block (GNB) on pain in lesions of the knee joint. Computerized searches of randomized controlled trials were conducted in PubMed, EMbase, Cochrane Library, and Web of Science, with a search time frame until January 2024. Methodological and experimental quality was assessed using the risk of bias assessment tool recommended by the Cochrane Handbook. A meta-analysis was conducted of the pain score (as the primary outcome measure) using Review Manager 5.4 and Stata 17. Thirteen studies involving a total of 731 patients were ultimately included. In the comparison of GNB and non-GNB, the analysis results of analgesic effects at all visits showed [SMD=− 0.51, 95% CI (− 0.89, − 0.14)]. Analysis of analgesic effects at a visit at 1 month showed [SMD=− 0.79, 95% CI (− 1.55, − 0.02)]. Subgroup analysis for the control group showed [SMD=− 4.07,9 5% CI (− 4.10, − 1.84)]. Currently, available evidence suggests that GNB may be an effective analgesic therapy and superior to other regimens in the treatment of lesions of the knee joint.Keywords: knee joint, pain, genicular nerve block, meta-analysishttps://www.dovepress.com/effect-of-genicular-nerve-block-gnb-on-pain-in-lesions-of-the-knee-joi-peer-reviewed-fulltext-article-JPRknee jointpaingenicular nerve blockmeta-analysis
spellingShingle Li W
Xu F
Chen F
Cao L
Bao X
Effect of Genicular Nerve Block (GNB) on Pain in Lesions of the Knee Joint: A Meta-Analysis of Randomized Controlled Trials
Journal of Pain Research
knee joint
pain
genicular nerve block
meta-analysis
title Effect of Genicular Nerve Block (GNB) on Pain in Lesions of the Knee Joint: A Meta-Analysis of Randomized Controlled Trials
title_full Effect of Genicular Nerve Block (GNB) on Pain in Lesions of the Knee Joint: A Meta-Analysis of Randomized Controlled Trials
title_fullStr Effect of Genicular Nerve Block (GNB) on Pain in Lesions of the Knee Joint: A Meta-Analysis of Randomized Controlled Trials
title_full_unstemmed Effect of Genicular Nerve Block (GNB) on Pain in Lesions of the Knee Joint: A Meta-Analysis of Randomized Controlled Trials
title_short Effect of Genicular Nerve Block (GNB) on Pain in Lesions of the Knee Joint: A Meta-Analysis of Randomized Controlled Trials
title_sort effect of genicular nerve block gnb on pain in lesions of the knee joint a meta analysis of randomized controlled trials
topic knee joint
pain
genicular nerve block
meta-analysis
url https://www.dovepress.com/effect-of-genicular-nerve-block-gnb-on-pain-in-lesions-of-the-knee-joi-peer-reviewed-fulltext-article-JPR
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