IPACK Block Versus Adductor Canal Block in High Tibeal Osteotomy

NCT05271188 | Unknown

• 1 other identifier: Pain control
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

A comparison between IPACK block and adductor canal block in post operative pain management

Conditions

Pain, Postoperative

Outcome Measures

Primary Outcomes (1)

• the time of first pain sensation requiring analgesia

  If intervention which is adductor canal block or lPACK block is effective in postoperative pain control that can decrease the lV analgesic agents

  24 hours

Study Arms (2)

Group 1 who will receive IPACK block

ACTIVE COMPARATOR

This group of patients will receive IPACK block immediately before spinal anaesthesia then follow up for 24 hrs to register first pain sensation and analgesic requirements

Procedure: Infiltration of local anaesthetic between popliteal artery and posterior knee capsule

Group 2 who will receive adductor canal block

ACTIVE COMPARATOR

This group of patients will receive adductor canal block immediately before spinal anaesthesia then follow up for 24 hrs to register first pain sensation and analgesic requirements

Procedure: Infiltration of local anaesthetic between popliteal artery and posterior knee capsule

Interventions

Infiltration of local anaesthetic between popliteal artery and posterior knee capsule PROCEDURE

Adductor canal block (ACB) is a popular peripheral nerve block that has been shown to decrease pain significantly and thereby opioid consumption with minimal effect on quadriceps function \[8\]. Though ACB provides analgesia to the peripatellar and intra-articular aspect of knee joint, it does not relieve posterior knee pain which is moderate to severe in intensity \[9, 10\]. The recent technique of an ultrasound (US)-guided local anesthetic infiltration of the interspace between popliteal artery and the capsule of posterior knee (IPACK) has shown to provide significant posterior knee analgesia without affecting the common peroneal nerve (CPN) \[11\]. We postulated that IPACK will provide better pain relief and improve knee function in the immediate postoperative period compared to ACB

Also known as: Adductor canal block

Group 1 who will receive IPACK block; Group 2 who will receive adductor canal block

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 40 - 60 years.
• American Society of Anesthiologist class ( ASA) I - III
• BMI 18-35 kg/m2
• Scheduled for primary unilateral open wedge high tibial osteotomy

You may not qualify if:

• Known allergy to local anesthetics
• Contraindication to local anesthetics injection e.g. infection at the site of injection
• Contraindication to spinal anesthesia e.g. coagulopathy.
• Patients with pre-existing motor or sensory deficits in lower extremities.
• Insulin or noninsulin dependent diabetes mellitus.
• systemic corticosteroid use within 30-days of surgery
• difficulties in comprehending visual analog scale (VAS) pain scores
• history of arrhythmia or seizures
• severe renal insufficiency

Sponsors & Collaborators

• Assiut University: lead

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Officials

• Salwa Hussein, Lecturer

  Assiut University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Salwa Hussein

CONTACT

01159460234; salwa94hussien@gmail.com

Abd elraheem Mahmoud

CONTACT

01000032655; arawamyyy@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant lecturer

Model Details: Two groups of people who are undergoing open wedge high tibeal osteotomy aged between 40 and 60 yrs old not diabetic and neurologically free

Study Record Dates

• First Submitted: February 14, 2022
• First Posted: March 8, 2022
• Study Start: March 15, 2022
• Primary Completion: February 1, 2023
• Study Completion: March 1, 2023
• Last Updated: March 8, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share