A study to compare two different types of nerve blocks, the "SPANK block" and the "IPACK block" for pain control after surgery for total knee replacement.

Comparision of SPANK block versus IPACK block when added to Adductor canal block for pain control and knee rehabilitation after Total knee arthroplasty-A prospective randomized control trial.

Status

Active, not recruiting

Phases

Phase 1Phase 2

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2020/11/029180

Enrollment

Registered

2020-11-17

Start date

Unknown

Completion date

Unknown

Last updated

2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: M171- Unilateral primary osteoarthritisof knee Health Condition 2: M171- Unilateral primary osteoarthritisof knee

Interventions

Intervention1: USG guided SPANK Block Plus Adductor Canal Block : In this Group, USG guided SPANK Block(Selective Sensory Single Injection solution for posterior knee pain after total knee arthroplast

Eligibility

Inclusion criteria

Inclusion criteria: Inclusion Criteria: 1 Patients between the ages of 40 and 60 years old undergoing total knee arthroplasty 2 BMI 3 ASA class III or less

Exclusion criteria

Exclusion criteria: 1 Inability to sign consent form 2 Allergy to medications used in the study 3 Repeat surgery 4 History of seizure disorder 5 Simultaneous bilateral TKA 6 BMI >45 • Opioid consumption of greater or equal to 30mg morphine equivalents per day • Age 60 years old • ASA IV or greater • Inability to access the intrathecal space • Infection at the site of injection (either for spinal or PNB) • INR greater than or equal to 1.4

Design outcomes

Primary

Measure	Time frame
duration of postoperative analgesia assessed by verbal pain score via numerical rating scaleTimepoint: duration of postoperative analgesia assessed by verbal pain score via numerical rating scale	—

Secondary

Measure	Time frame
24 hours opioid consumption mobilization ability(TUG test) Quadriceps muscle strength at 8hrs,POD 1 and 2 Adverse effectsTimepoint: 24 hours opioid consumption	—

Countries

India

Contacts

Public ContactDr Shibani Padhy

NIMS Hospital Hyderabad

drshibanipadhy@gmail.com8332921975

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026