Efficacy of Ipack Block and Surgeon's Joint Infiltration in Total Knee Arthroplasty

Mount Sinai Health System

Status and phase: Completed; Phase 4

Conditions: Osteo Arthritis Knee

Treatments: Device: Ipack; Procedure: Peri Articular Infiltration; Drug: Bupivacaine

Study type: Interventional

Funder types: Other

Identifiers

NCT03653416

IRB 17-01981 (Other Identifier)

GCO 17-04304

Details and patient eligibility

About

Total knee arthroplasty(TKA) is an effective modality for the treatment of advanced osteoarthritis of the knee joint with excellent outcomes. With 719,000 cases being performed as of 2010, the incidence is expected to increase up to 3.48 million procedures annually by 2030.

Full description

There have been several studies regarding efficacy of peri articular infiltration. IPACK block is a novel technique gaining popularity where one injects local anesthesia safely under ultrasound guidance in the interspace between the popliteal artery and capsule of the knee.

There have been no studies till date comparing the efficacy between IPACK block and Periarticular Infiltration (PAI).

Enrollment: 99 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• ASA (American Society of Anesthesiology) class I-IV
• age 18-75.

Exclusion criteria

• ASA class V
• morbid obesity
• patient refusal
• patients with chronic pain or on pain medication
• allergy to LA
• patients receiving any additional regional techniques
• coagulopathy
• patients receiving systemic anticoagulation
• local infection and procedures anticipated to last more than 5 hours.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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99 participants in 2 patient groups

Ipack group

Experimental group

Description:

20 cc of bupivacaine(o.25%) will be injected with the help of ultrasound guidance. Patients will receive adductor canal catheter and peri articular infiltration as well.

Treatment:

Drug: Bupivacaine

Procedure: Peri Articular Infiltration

Device: Ipack

Pai (peri articular) group

Active Comparator group

Description:

Patients will receive adductor canal catheter and peri articular infiltration.

Treatment:

Procedure: Peri Articular Infiltration