Comparison of IPACK and Adductor Canal Block Combination Versus Epidural Analgesia for Total Knee Arthroplasty

Completed

• Conditions: Knee Injuries
• Interventions: Procedure: ipack+adduktor kanal

• Registration Number: NCT05751109
• Lead Sponsor: Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization

Brief Summary

To compare the efficacy and complications of IPACK and adductor canal block combination and epidural block in patients who will be operated for knee arthroscopy under spinal anesthesia.

Detailed Description

Between 15.08.2022 and 15.04.2023, the patients who will be operated on for knee surgery under spinal anesthesia, older than 18 years of age were included in the study. Demographic characteristics of the patients, comorbidities, ASA scores, mobilization time, amount of postoperative analgesic use, and postoperative pain scores of the 1. 8. 24. hours will be observed. The vas score at the 3rd month was learned over the phone.

Study Timeline

• Study Start: 2022-08-01
• Study First Submitted: 2022-09-22
• Study First Submitted QC: 2023-03-01
• Study First Posted: 2023-03-02
• Primary Completion: 2023-08-16
• Study Completion: 2023-10-01
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-02
• Last Update Posted: 2024-01-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Those who consented to participate in the study
• Patients over the age of 18 who will be operated on due to knee pathology
• Patients to be operated under spinal anesthesia
• Disease that will limit cooperation

Exclusion Criteria

• Patients under the age of 18
• Patients to be operated under general anesthesia
• Disease that will cause limited cooperation

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
ipack+adductor canal block	ipack+adduktor kanal	The 40 patients received ACB + IPACK (Group 1, n = 40),. All patients were evaluated with VAS score for pain recorded at 1h, 8 h, postoperative day (POD) 1 and 3. month after the surgery. The secondary outcome measures assessed were movement time and discharge time.
epidural analgesia	ipack+adduktor kanal	The 40 patients received combine spinal epidural (Group 2, n = 40),. All patients were evaluated with VAS score for pain recorded at 1h, 8 h, postoperative day (POD) 1 and 3. month after the surgery. The secondary outcome measures assessed were movement time and discharge time.

Primary Outcome Measures

Name	Time	Method
Visual Analogue Scale (VAS) evaluation for postoperative pain	8. Hour	The Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').

Secondary Outcome Measures

Name	Time	Method
Visual Analogue Scale (VAS) evaluation for postoperative pain	24. Hour	The Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').

Trial Locations

Locations (2)

Rasim Onur Karaoglu; 🇹🇷 İstanbul, Kağıthane, Turkey

Onur Karaoglu; 🇹🇷 Istanbul, Kağıthane, Turkey