الفهرس 
Innervation of the KneeOnly 14 pages are availabe for public view
 |  | from | 81 |  |  |
| | | from | 81 | | |
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 adductor canal block (ACB) alone against adductor canal with IPACK (interspace between popliteal artery and capsule of the knee) block in knee surgeries.
Our study is a randomized, prospective, comparative study where 50 patients subjected to knee surgeries were randomized into two groups, group (A): patients in this group received ultrasound guided Adductor canal block only ; group (AB): under ultrasound guide , patients in this group received a combined adductor canal block and IPACK block at the start of surgery.
Our study revealed that regardless of the good analgesic effect of ACB , patients who received a combination of ACB and IPACK blocks have experienced a better pain control , a wider range of motion and a longer walking distance following surgery when compared to patients who received ACB alone . Additionally, there was no statistically significant difference between groups in terms of opioid needs or consumption.