Comparison of iPACK and periarticular block with adductor block alone after total knee arthroplasty: a randomized clinical trial.

ABSTRACT:

Purpose

The infiltration between the popliteal artery and the capsule of the posterior knee (iPACK) has been described to provide analgesia without loss of muscle strength and is effective in functional recovery. This study compared iPACK + ACB (adductor canal block) with PAI (periarticular infiltration) + ACB and ACB alone in terms of postoperative analgesia and functional improvement.

Methods

This double-blinded randomized controlled trial included 105 patients undergoing unilateral total knee arthroplasty. Patients received ACB, iPACK + ACB, and PAI + ACB along with spinal anesthesia. The primary outcome was the area under the curve (AUC) numeric rating scale (NRS) at 48 h. Secondary outcomes were cumulative postoperative analgesic consumption within 48 h, timed up-and-go

SUBMITTER: Et T 

PROVIDER: S-EPMC8853355 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature