IPACK Block Versus Adductor Canal Block in High Tibeal Osteotomy

Pain, Postoperative Clinical Trial

Official title:

Infiltration of Local Anesthetic in the Interspace Between the Popliteal Artery and Capsule of the Posterior Knee "IPACK Block" Versus Adductor Canal Block "ACB" for Pain Relief After Open Wedge High Tibial Osteotomy

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05271188
• Other study ID #: Pain control
• Status: Not yet recruiting
• Phase: N/A
• Start date: March 15, 2022
• Est. completion date: March 2023

Study information

• Verified date: March 2022
• Source: Assiut University
• Contact: Salwa Hussein
• Phone: 01159460234
• Email: salwa94hussien[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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

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

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 60
• Est. completion date: March 2023
• Est. primary completion date: February 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 60 Years

Eligibility

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

Related Conditions & MeSH terms

• Pain, Postoperative

Intervention

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

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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