Comparing two methods of pain management after knee surgery
A Comparative Study Between the Effect of Continuous Adductor Canal Block Versus Continuous Adductor Canal Block With Additional Infiltration Between The Popliteal Artery and Capsule of The Knee (IPACK) After Arthroscopic Knee Surgeries
This study tests whether a new way of managing pain after knee surgery, using two different blocks, can help patients recover faster and use fewer opioids.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 70 (estimated) |
| Ages | 21 Years to 65 Years |
| Sex | All |
| Sponsor | Ain Shams University Academic / other |
| Locations | 1 site (Cairo) |
| Trial ID | NCT06802419 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of a Continuous Adductor Canal Block alone versus a combination of this block with an additional posterior knee block known as the IPACK block after arthroscopic knee surgeries. The goal is to enhance recovery by providing effective pain relief while preserving motor function, which can facilitate earlier physical therapy and faster recovery. The study focuses on patients undergoing elective surgeries for ACL and PCL repairs, aiming to reduce opioid use and improve postoperative outcomes.
Who should consider this trial
Good fit: Ideal candidates are adults aged 21 to 65 scheduled for elective arthroscopic knee surgery with successful spinal anesthesia.
Not a fit: Patients with contraindications to regional anesthesia, such as coagulopathy or local infection, or those with certain comorbidities like diabetes or psychiatric disorders may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to improved pain management and quicker recovery for patients undergoing knee surgery.
How similar studies have performed: Other studies have shown promising results with similar nerve block techniques, indicating potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age from 21 to 65 years. * Both sexes. * American Society of Anesthesiologists (ASA) Physical Status Class I to II. * Patients with successful spinal anesthesia. * Patients scheduled for elective arthroscopic knee surgery for anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) repair. Exclusion Criteria: * Declining to give written informed consent. * History of allergy to the medications used in the study. * Contraindications to regional anesthesia (including coagulopathy and local infection). * Polytrauma patients having lower limb fractures. * Patients with pre-existing myopathy or neuropathy on the operating limb. * Patients with diabetes mellitus. * Psychiatric disorder. * Morbid obesity \[body mass index (BMI) \> 45kg/m2\]. * Complicated Surgery.
Where this trial is running
Cairo
- Ain Shams University — Cairo, Egypt (Recruiting)
Study contacts
- Study coordinator: Nada E Hussein, Master
- Email: Nadahussein@med.asu.edu.eg
- Phone: 00201112449418
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.