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Comparison of Distal IPACK and Popliteal Plexus Block Combined With Femoral Triangle Block After Total Knee Arthroplasty

ConditionOsteo Arthritis of the Knee
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-85
SponsorKaraman Training and Research Hospital

About this trial

This study aims to investigate the effect of femoral triangle block combined with popliteal plexus block and distal IPACK block on postoperative pain after total knee arthroplasty (TKA)

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients undergoing total knee arthroplasty under spinal anesthesia

American Society of Anesthesiologists (ASA) status I-III

Patients who give informed consent

Disqualifiers

Patients unable to cooperate

Kidney disease with GFR < 50 ml/min

Daily opioid consumption > 1 month

Allergy to local anesthetics

Trial design

Design model

Parallel

Treatments tested in this trial

  • femoral triangle block and popliteal plexus block

    Device

    Single dose bolus, 10 ml 5% bupivacaine will be used for FTB, 10 ml 5% bupivacaine will be used for PPB

  • Femoral triangle block and distal iPACK

    Device

    Single dose bolus, 10 ml 5% bupivacaine will be used for FTB, 10 ml 5% bupivacaine will be used for distal iPACK

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: Group Popliteal plexus blockExperimental treatment 1 intervention
Group B: Group distal iPACKExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Opioid consumption

Total opioid consumption in each group, A, B until 24 hours postoperative.

Time frame
24 hours

Secondary outcomes

1

NRS scores

Numerical Rating Scale (NRS) scores (Range 0-10, 0=no pain, 10=the worse pain ever)

Time frame
48 hours
2

Range of knee motion

Degrees of flexion

Time frame
48 hours
3

Patient mobilization

Patient reporting time of first standing to the side of the bed and time up and go test 2 days

Time frame
48 hours
4

Post-block Maximum Voluntary Isometric Contraction (MVIC) by knee extension, calculated as a percentage of the Pre-block baseline value

Both MVIC test are assessed preoperative, using a handheld dynamometer

Time frame
A 60-minute interval is between pre-block and post-block MVIC assessments

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Karaman Training and Research Hospital

Lead sponsor

Source ClinicalTrials.gov
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