Abstract Background and objectives Anterior cruciate ligament reconstruction (ACLR) is one of the most frequently performed orthopedic procedures. The ability to perform ACLR on an outpatient basis is largely dependent on an effective analgesic regimen. The aim of the study was to compare the analgesic effect between continuous adductor canal block (cACB) and femoral nerve block (cFNB) during arthroscopy guided ACLR. Method In this prospective, randomized, controlled clinical trial, 60 ASA I/II patients for arthroscopic ACLR were recruited. Patients in Group I received cACB and those in Group II cFNB. A bolus dose of 20 cc 0.5% levobupivacaine followed by 0.125% 5 mL.h-1 was started for 24 hours. Rescue analgesia in the form of paracetamol 1 g intravenous (IV) was given. Parameters assessed were time of first rescue analgesia, total analgesic requirement in 24 hours, and painless range of motion of the knee (15 degrees of flexion to further painless flexion). Results The time-to-first postoperative analgesic request (hours) was earlier in Group II (14.40 ± 4.32) than Group I (16.90 ± 3.37) and this difference was statistically significant (p< 0.05). The cumulative 24-h analgesic consumption (paracetamol in g) was 0.70 ± 0.47 in Group I and 1.70 ± 0.65 in Group II (p< 0.001). The painless range of motion (degree) was 55.67 ± 10.40 in Group I and 40.00 ± 11.37 in Group II (p< 0.001). Conclusion The findings of this study suggest that continuous adductor canal block provides superior analgesia in patients undergoing arthroscopic ACLR when compared to continuous femoral nerve block.

This paper critically analyses the case study of Chinese international relations theory through the lens of a non-Western International relations theoretical framework. There should be an attempt to democratise the existing international relations discipline because societal interactions among the countries across the globe cannot be judged by the yardstick of Western experiences. Non-Western international relations theories can be also generated under the post-positivist methodological framework, as it is equally important to include the localised voices and experiences of Asian, African and Latin American countries by reactivating their local historical traditions and ancient philoso-phies, sociological perspective and ontological, epistemological and axiological dimension of international relations theories

Este artículo analiza críticamente la teoría china de las relaciones internaciona-les, como estudio de caso, desde la perspectiva del marco teórico de las relaciones inter-nacionales no occidentales. Debe haber un intento de democratizar la disciplina existente de las relaciones internacionales ya que las interacciones sociales entre los países del globo no pueden ser juzgadas desde la perspectiva de las experiencias occidentales. Las teorías de las relaciones internacionales no occidentales también pueden ser generadas dentro del marco metodológico post-positivista ya que es igualmente importante incluir las voces y experiencias localizadas de los países asiáticos, africanos y latinoamericanos a partir de la reactivación de sus tradiciones históricas locales y sus filosofías antiguas, la perspectiva sociológica y la dimensión ontológica, epistemológica y axiológica de las teorías de las relaciones internacionales.