IPACK Block Versus Adductor Canal Block in High Tibeal Osteotomy

Assiut University

Status: Unknown

Conditions: Pain, Postoperative

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

Study type: Interventional

Funder types: Other

Identifiers

NCT05271188

Pain control

Details and patient eligibility

About

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

Full description

Two groups of patients between 40 and 60 yrs who are undergoing open wedge high tibeal osteotomy Group 1 will receive IPACK block with 15 ml Bupivacaine, immediately before spinal anaesthesia .

Group 2 will receive adductor canal block ,also with 15 ml Bupivacaine. before spinal anaesthesia. register the time of first pain sensation and firs IV analgesic dose required in each group

Enrollment: 60 estimated patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

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

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Group 1 who will receive IPACK block

Active Comparator group

Description:

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

Treatment:

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

Group 2 who will receive adductor canal block

Active Comparator group

Description:

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

Treatment:

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