Effect of Continuous Adductor Canal Block Versus Continuous Adductor Canal Block With Additional Infiltration Between The Popliteal Artery and Capsule of The Knee (IPACK) After Arthroscopic Knee Surgeries

Launched by AIN SHAMS UNIVERSITY · Jan 30, 2025

Keywords

ClinConnect Summary

This clinical trial is exploring two different ways to manage pain after knee surgery. Specifically, it compares a method called Continuous Adductor Canal Block (CACB) to a combination of CACB and an additional injection called the Infiltration between the Popliteal Artery and Capsule of the Knee (IPACK). Both techniques aim to help reduce pain following arthroscopic knee surgeries, which are often performed to repair ligaments such as the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL).

To participate in this trial, individuals should be between 21 and 65 years old, in generally good health (Classes I to II according to the American Society of Anesthesiologists), and scheduled for elective knee surgery. However, those with certain medical conditions, allergies to study medications, or significant health issues may not be eligible. Participants can expect to receive either of the two pain management techniques and will be closely monitored to see which method works better for pain relief after surgery. This study is currently recruiting participants, and their involvement could help improve pain management for future knee surgery patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age from 21 to 65 years.
• • Both sexes.
• • American Society of Anesthesiologists (ASA) Physical Status Class I to II.
• • Patients with successful spinal anesthesia.
• • Patients scheduled for elective arthroscopic knee surgery for anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) repair.
• Exclusion Criteria:
• • Declining to give written informed consent.
• • History of allergy to the medications used in the study.
• • Contraindications to regional anesthesia (including coagulopathy and local infection).
• • Polytrauma patients having lower limb fractures.
• • Patients with pre-existing myopathy or neuropathy on the operating limb.
• • Patients with diabetes mellitus.
• • Psychiatric disorder.
• • Morbid obesity \[body mass index (BMI) \> 45kg/m2\].
• • Complicated Surgery.