Evaluation of the Effectiveness of iPACK and Adductor Canal Blocks on Patients Undergoing Arthroscopic Knee Surgery

NCT ID: NCT07002580

Last Updated: 2025-06-03

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-01

Study Completion Date

2026-04-01

Brief Summary

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Arthroscopic knee surgery is one of the most commonly performed procedures in orthopedic surgery. More than 50% of patients experience moderate to severe pain after the operation. Inadequate postoperative pain control and poor recovery quality can negatively impact physiotherapy protocols, prolong hospital stays, and consequently lead to cognitive dysfunction, systemic infections, and increased healthcare costs.

Therefore, reducing postoperative pain and improving recovery quality are of great importance. In our clinic, a variety of analgesic techniques are routinely employed as part of a multimodal analgesia approach for patients undergoing arthroscopic knee surgery. One of these techniques is the simultaneous application of the IPACK block and the adductor canal block.

In this study, we aim to evaluate the effectiveness of these blocks on postoperative recovery quality in patients undergoing arthroscopic knee surgery.

Detailed Description

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Conditions

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Patients Undergoing Arthroscopic Knee Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants
Patients will be randomized with closed letter method.

Study Groups

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Group 1

Group 1 will involve the patients which will be applied iPACK and adductor canal blocks in addition to spinal anesthesia.

Group Type EXPERIMENTAL

IPACK and adductor canal block with Bupivacaine 0.25%

Intervention Type PROCEDURE

iPACK block is infiltration between the Popliteal Artery and the Capsule of the Knee. iPACK and adductor canal blocks are performed with ultrasound guidence under sterile conditions.

Spinal Anesthesia with Bupivacaine

Intervention Type PROCEDURE

Spinal Anesthesia is a basic anesthesia method used for years to grant anesthesia for surgeries for lower extremities and lower torso surgeries.

Group 2

Group 2 will involve the patients which will be applied only spinal anesthesia without additional peripheric nerve blocks.

Group Type EXPERIMENTAL

Spinal Anesthesia with Bupivacaine

Intervention Type PROCEDURE

Spinal Anesthesia is a basic anesthesia method used for years to grant anesthesia for surgeries for lower extremities and lower torso surgeries.

Interventions

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IPACK and adductor canal block with Bupivacaine 0.25%

iPACK block is infiltration between the Popliteal Artery and the Capsule of the Knee. iPACK and adductor canal blocks are performed with ultrasound guidence under sterile conditions.

Intervention Type PROCEDURE

Spinal Anesthesia with Bupivacaine

Spinal Anesthesia is a basic anesthesia method used for years to grant anesthesia for surgeries for lower extremities and lower torso surgeries.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients aged between 18 and 50 years,
* Scheduled for arthroscopic knee surgery under spinal anesthesia due to knee pathology
* Patients classified as ASA physical status I-II-III according to the American Society of Anesthesiologists risk classification

Exclusion Criteria

* Coagulopathy
* ASA IV-V patients
* Uncooperable patients
* Patients who refuses to participate in study
* Patients who takes chronic pain treatments
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sakarya University

OTHER

Sponsor Role lead

Responsible Party

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Oguzhan Okumus

Anesthesiology and Reanimation Resident M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sakarya University Training and Research Hospital

Sakarya, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Oğuzhan Okumuş, M.D.

Role: CONTACT

+905372093019

Facility Contacts

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Oğuzhan Okumuş, M.D.

Role: primary

+905372093019

Other Identifiers

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E-43012747-050.04-463720-202

Identifier Type: -

Identifier Source: org_study_id

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