Analgesic Efficacy of Genicular Nerve Block Versus (IPack Block ) in Patients Undergoing (ACL) Repair

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-12

Study Completion Date

2024-10-30

Brief Summary

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One of the most common injuries to the knee is an anterior cruciate ligament (ACL) sprain or tear due to trauma ACL damage is crippling and often requires repair with an arthroscopic method, which is an outpatient surgery. Nevertheless, patients experience severe postoperative pain on the first day after the ACL reconstruction.Efficient postsurgery pain management is an important part of patient recovery that is also crucial for their satisfaction.

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Detailed Description

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The optimum role of peripheral nerve blocks in ACL reconstruction continue to be debated as a component of multi-modal analgesia . As such ,an ideal block for ACLR would target sensation but not motor function,have minimal complication risk,and be easily reproducible The genicular nerves include branches from the femoral, common peroneal, saphenous, tibial, and obturator nerves which innervate the knee capsule . The superolateral, superomedial, and inferomedial On the other hand, the interspace between the Popliteal Artery and Capsule of the Knee (IPACK) block provides analgesia on the posterior knee joint, and the application of a genicular or IPACK block has been be associated with promising outcomes following the ACLR surgery

Conditions

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Post Operative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Control group

did not receive any block just spinal anathesia.

Group Type NO_INTERVENTION

No interventions assigned to this group

Genicular nerve block

patients who receive Genicular nerve block with spinal anathesia .

Group Type ACTIVE_COMPARATOR

Genicular nerve block

Intervention Type PROCEDURE

patients who receive Genicular nerve block with spinal anathesia .

IPACK block

patients who receive IPACK block with spinal anathesia.

Group Type ACTIVE_COMPARATOR

Genicular nerve block

Intervention Type PROCEDURE

patients who receive Genicular nerve block with spinal anathesia .

Interventions

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Genicular nerve block

patients who receive Genicular nerve block with spinal anathesia .

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

\- Patient age from 18 to 45 years old Patient status ASA I - II Patient body mass index (BMI) \<40 kg/m2

Exclusion Criteria

* -Patients were excluded if they refused consent.
* Patients who are Not cooperative.
* BMI \>40 kg/m2.
* Allergy to local anesthetics.
* Patients with anticoagulation or bleeding problems.
* Previous nerve dysfunction.
* Physical status ASA class IV.

Minimum Eligible Age

15 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes