IPACK Block Versus Adductor Canal Block in High Tibeal Osteotomy

Not Applicable

• Conditions: Pain, Postoperative
• Interventions: Procedure: Infiltration of local anaesthetic between popliteal artery and posterior knee capsule

• Registration Number: NCT05271188
• Lead Sponsor: Assiut University

Brief Summary

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

Detailed 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

Study Timeline

• Study First Submitted: 2022-02-14
• Status Verified: 2022-03
• Study First Submitted QC: 2022-03-06
• Last Update Submitted: 2022-03-06
• Study First Posted: 2022-03-08
• Last Update Posted: 2022-03-08
• Study Start: 2022-03-15
• Primary Completion: 2023-02
• Study Completion: 2023-03

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group 1 who will receive IPACK block	Infiltration of local anaesthetic between popliteal artery and posterior knee capsule	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
Group 2 who will receive adductor canal block	Infiltration of local anaesthetic between popliteal artery and posterior knee capsule	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

Primary Outcome Measures

Name	Time	Method
the time of first pain sensation requiring analgesia	24 hours	If intervention which is adductor canal block or lPACK block is effective in postoperative pain control that can decrease the lV analgesic agents