Evaluation of the Effectiveness of iPACK and Adductor Canal Blocks on Patients Undergoing Arthroscopic Knee Surgery

Evaluation of the Effectiveness of iPACK (Local Anesthetic Infiltration of the Interspace Between the Popliteal Artery and the Posterior Knee Capsule) and Adductor Canal Blocks on Quality of Recovery in Patients Undergoing Arthroscopic Knee Surgery

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07002580

Enrollment

Registered

2025-06-03

Start date

2025-07-01

Completion date

2026-04-01

Last updated

2026-02-06

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

Conditions

Patients Undergoing Arthroscopic Knee Surgery

Keywords

Arthroscopic Knee Surgery, Perifheric Nerve Block, Analgesia, iPACK, Adductor Canal Block, QoR-15

Brief summary

Arthroscopic knee surgery is one of the most commonly performed procedures in orthopedic surgery. More than 50% of patients experience moderate to severe pain after the operation. Inadequate postoperative pain control and poor recovery quality can negatively impact physiotherapy protocols, prolong hospital stays, and consequently lead to cognitive dysfunction, systemic infections, and increased healthcare costs. Therefore, reducing postoperative pain and improving recovery quality are of great importance. In our clinic, a variety of analgesic techniques are routinely employed as part of a multimodal analgesia approach for patients undergoing arthroscopic knee surgery. One of these techniques is the simultaneous application of the IPACK block and the adductor canal block. In this study, we aim to evaluate the effectiveness of these blocks on postoperative recovery quality in patients undergoing arthroscopic knee surgery.

Interventions

PROCEDUREIPACK and adductor canal block with Bupivacaine 0.25%

iPACK block is infiltration between the Popliteal Artery and the Capsule of the Knee. iPACK and adductor canal blocks are performed with ultrasound guidence under sterile conditions.

PROCEDURESpinal Anesthesia with Bupivacaine

Spinal Anesthesia is a basic anesthesia method used for years to grant anesthesia for surgeries for lower extremities and lower torso surgeries.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

SINGLE (Subject)

Masking description

Patients will be randomized with closed letter method.

Eligibility

Sex/Gender

ALL

Age

18 Years to 50 Years

Healthy volunteers

Inclusion criteria

* Patients aged between 18 and 50 years, * Scheduled for arthroscopic knee surgery under spinal anesthesia due to knee pathology * Patients classified as ASA physical status I-II-III according to the American Society of Anesthesiologists risk classification

Exclusion criteria

* Coagulopathy * ASA IV-V patients * Uncooperable patients * Patients who refuses to participate in study * Patients who takes chronic pain treatments

Design outcomes

Primary

Measure	Time frame	Description
Quality of Recovery	24 hours.	Quality of Recovery of the patients will be assessed with QoR-15 questionnaire. Its scoring will range between 0 and 150 points.

Secondary

Measure	Time frame	Description
Analgesic Consumption	24 hours.	The total analgesic consumption of patients according to the patient controlled analgesia device which measures the opioid consumption for 24 hours.

Countries

Turkey (Türkiye)

Contacts

CONTACTOğuzhan Okumuş, M.D.

dr.oguzhanokumusss@gmail.com+905372093019

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 7, 2026