Adductor Canal Block With Periarticular Injection and IPACK (ACB/PAI/IPACK) Versus Periarticular Injection (PAI)



Status:Recruiting
Conditions:Orthopedic
Therapuetic Areas:Orthopedics / Podiatry
Healthy:No
Age Range:18 - 80
Updated:7/5/2018
Start Date:February 28, 2017
End Date:January 31, 2019
Contact:Christopher T Garnett, BA
Email:GarnettC@hss.edu
Phone:212-774-7022

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Analgesia After Total Knee Arthroplasty: Adductor Canal Block With Periarticular Injection and IPACK (ACB/PAI/IPACK) Versus Periarticular Injection (PAI). A Double-Blinded Randomized Controlled Trial

A comparison of two pain control methods - the combination of Adductor Canal Block
(ACB)/Periarticular Injection (PAI)/Infiltration of the interspace between the popliteal
artery and the capsule of the posterior knee (IPACK) versus the Periarticular Injection (PAI)
- in patients undergoing total knee arthroplasty. Primary outcome is NRS pain scores with
ambulation on postoperative day one (24 hours post-block administration).


Inclusion Criteria:

- Patients with osteoarthritis scheduled for a primary either partial or total knee
arthroplasty with a participating surgeon

- Age 18 to 80 years

- Planned use of regional anesthesia

- Ability to follow study protocol

- English speaking (secondary outcomes include questionnaires validated in English only)

- Patients of participating surgeons

Exclusion Criteria:

- Hepatic or renal insufficiency

- Younger than 18 years old and older than 80

- Patients undergoing general anesthesia

- Allergy or intolerance to one of the study medications

- BMI > 40

- Diabetes

- ASA of IV

- Chronic gabapentin/pregabalin use (regular use for longer than 3 months)

- Chronic opioid use (taking opioids for longer than 3 months, or daily oral morphine
equivalent of >5mg/day for one month)

- Patients with severe valgus deformity and flexion contracture
We found this trial at
1
site
535 E 70th St
New York, New York 10021
(212) 606-1000
Hospital for Special Surgery Founded in 1863, Hospital for Special Surgery is the nation
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mi
from
New York, NY
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