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A comparative study of two different pain management techniques for Total Knee replacement

A Comparative Study of Modified 4 in 1 Block Vs IPACK Plus Adductor Canal Block for Post-Operative Analgesia in Total Knee Arthroplasty

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/12/038979
Enrollment
70
Registered
2021-12-28
Start date
Unknown
Completion date
Unknown
Last updated
2023-06-26

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

Interventions

Intervention1: Adductor canal block with iPACK: Adductor canal block involves identification and blockade of target nerves in Adductor canal using ultrasound along with iPACK modality blockade of the

Sponsors

CARE Hospitals
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients aged 40 years and above. BMI between 18 to 40 kg/m2 Patients posted for primary total knee replacement surgery. ASA Class I, II, III patients. All the patients willing to give informed written consent.

Exclusion criteria

Exclusion criteria: ASA Class IV and above Patientâ??s refusal or Lack of written informed consent. Patients with bleeding disorders. Patients with allergy to drugs used. Patients with infection or wound at the site of injection. Patients with cognitive and psychiatric illness. Patients with contraindications for neuraxial blockade. Patients with a history of substance abuse, peripheral neuropathy or neurologic deficit. Patients on recent oral opioids in the last 3 months Pregnancy Bilateral total knee arthroplasty. Patients with severe cardiovascular, respiratory, renal and hepatic disease. Patients posted for any other combined procedure with TKR.

Design outcomes

Primary

MeasureTime frame
To evaluate the quality of postoperative pain relief using VAS over first 24 hours after the surgeryTimepoint: 3, 6, 12, 24 hours

Secondary

MeasureTime frame
To assess postoperative haemodynamics Timepoint: 3, 6, 12, 24 hours;To assess the post operative complication due to blocks, if any Timepoint: 3,6,12,24 hours;To evaluate and compare the postoperative rescue analgesic request time. Timepoint: 3,6,12,24 hours

Countries

India

Contacts

Public ContactDr Gaurav Agarwal

CARE Hospitals, Bhubaneswar

dr.agarwalgaurav@gmail.com7381094049

Outcome results

None listed

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