Postoperative Analgesic Efficacy Between Adductor Canal Block + IPACK Block and Adductor Canal Block + Genicular Nerve Block in Total Knee Arthroplasty

Sponsor
Konya Beyhekim Training and Research Hospital
Study ID
NCT07324486
Status
Not Yet Recruiting

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Conditions

  • Adductor Canal Block
  • Genicular Nerves Block
  • IPACK Block Multimodal Analgesia
  • Total Knee Arthroplasty

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Adductor Canal Block (ACB) + iPACK Block — DRUG
    Patients who underwent total knee arthroplasty surgery with IPACK + adductor canal block , 25 patients. After the needle tip is placed in the target area between the popliteal artery and the femur, the local anesthetic solution (10 ml of 0.5% bupivacaine + 10 ml of physiological saline) is slowly injected after negative aspiration. After the needle tip is placed within the adductor canal, the local anesthetic solution (10 ml of 0.5% bupivacaine + 10 ml of physiological saline) is slowly injected after negative aspiration.
  • adductor canal block + genicular blocks — DRUG
    Patients who underwent total knee arthroplasty surgery with genicular blocks + adductor canal block , 25 patients. The tip of the needle is directed toward the superior lateral, superior medial, and inferior medial genicular nerves under ultrasound guidance.2 ml of local anesthetic (0.5% bupivacaine) is injected into each nerve region. After the needle tip is placed into the adductor canal, the local anesthetic solution (10 ml of 0.5% bupivacaine + 10 ml of physiological saline) is slowly injected after negative aspiration.

Study Details

The aim of this study is to compare the postoperative analgesic efficacy and functional outcomes of the IPACK+Adductor Canal Block with the Genicular Nerve Block+Adductor Canal Block block in patients undergoing total knee arthroplasty (TKA). The primary objective (measurable) is to evaluate functional improvement using 6-Clicks scores, while secondary objectives include pain scores (Vas Score), opioid consumption, hospital stay duration, and patient satisfaction (Patient Satisfaction Index). IPACK : The infiltration between the popliteal artery and capsule of the knee

Key Dates

First listed
Jan 7, 2026
Start date
Dec 15, 2025
Status verified
Dec 2025
Primary completion
Jan 30, 2026
Completion
Feb 1, 2026

Study Design

Enrollment
50 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Other: GROUP IPACK
    ADDUCTOR CANAL BLOCK + IPACK
  • Experimental: GROUP GENİCULAR
    ADDUCTOR CANAL BLOCK + GENİCULAR BLOCK

Primary Outcome Measure

6-Clicks score [ Time Frame: 6.,12.,24.,36.,48.,60.,72. hours ]

Central Contacts

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