Randomized study to compare adductor canal block and combination of adductor canal block with ipack block for post operative analgesia in adult patient undergoing knee surgery

Effective pain management after knee surgery is crucial for early mobilization and reduced hospital stays. Peripheral nerve blocks have become preferred techniques to control postoperative pain while minimizing opioid use and related side effects. Among these, the adductor canal block (ACB) offers good analgesia while preserving quadriceps strength, aiding faster rehabilitation by targeting key sensory nerves around the knee. However, ACB alone does not adequately cover posterior knee pain. The IPACK block, which anesthetizes terminal sciatic nerve branches, complements ACB by addressing posterior knee discomfort without causing foot drop. So this study is plane to evaluate and compare the effect of combination of these two block.