الفهرس | Only 14 pages are availabe for public view |
Abstract ABSTRACT Knee surgeries are needed in a wide range of patients, from young athletes with anterior cruciate ligament injuries up to old patients with comorbidities presenting for arthroscopy up to total knee replacement procedures. The trend is fast track knee surgery with early ambulation and hospital discharge, so analgesic options of neuraxial blocks and main nerve blocks are less attractive due to the unavoidable muscle weakness. In this study, the benefit of pure sensory nerve block could be reached. The study aimed to compare the postoperative range of motion and the analgesic efficacy of continuous adductor canal block (CACB) alone against CACB with IPACK (interspace between popliteal artery and capsule of the knee) block in knee surgeries. Our study is a randomized, prospective, comparative study where 52 patients subjected to knee surgeries were randomized into two groups, group (A): patients in this group received ultrasound guided continuous adductor canal block only; group (B): under ultrasound guide, patients in this group received a combined continuous adductor canal block and IPACK block After the end of the surgery. Our study revealed that the use of CACB and IPACK together resulted in better postoperative pain management and reduced the need for nalbuphine. Despite this, there were no significant differences between the groups in terms of motor power or ambulation abilities. |