Comparing Continuous Adductor Canal Block Alone Versus With Additional IPACK Block After Arthroscopic Knee Surgery

What this Trial Is About

Researchers are evaluating the effect of continuous adductor canal block CACB alone versus CACB combined with an additional posterior knee block called the infiltration between the popliteal artery and capsule of the knee IPACK after arthroscopic knee surgeries. The study focuses on improving pain management while preserving motor function to enable earlier physical therapy, faster recovery, and shorter hospital stays. Enhanced recovery methods after knee surgery are gaining attention, with spinal anesthesia showing benefits over general anesthesia for better pain relief and less blood loss. Participants will be randomly assigned to one of two groups one group will receive a continuous adductor canal block alone, and the other group will receive the continuous adductor canal block plus the additional IPACK block. Both treatments aim to provide targeted nerve block for pain management while sparing motor function. The study involves a double-blind design to compare these two approaches after knee arthroscopy. During the study, participants will be monitored for pain levels 24 hours after surgery, along with total nalbuphine opioid consumption, ability to raise the straight leg, range of motion, and any complications. Assessments will focus on recovery progress and safety within the first day postoperatively. The trial will enroll adults aged 21 to 65 years undergoing elective arthroscopic knee surgery for ligament repair and will follow them closely after their procedures.

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