One of the most common injuries to the knee is an anterior cruciate ligament (ACL) sprain or tear due to trauma ACL damage is crippling and often requires repair with an arthroscopic method, which is an outpatient surgery. Nevertheless, patients experience severe postoperative pain on the first day after the ACL reconstruction.Efficient postsurgery pain management is an important part of patient recovery that is also crucial for their satisfaction.
The optimum role of peripheral nerve blocks in ACL reconstruction continue to be debated as a component of multi-modal analgesia . As such ,an ideal block for ACLR would target sensation but not motor function,have minimal complication risk,and be easily reproducible The genicular nerves include branches from the femoral, common peroneal, saphenous, tibial, and obturator nerves which innervate the knee capsule . The superolateral, superomedial, and inferomedial On the other hand, the interspace between the Popliteal Artery and Capsule of the Knee (IPACK) block provides analgesia on the posterior knee joint, and the application of a genicular or IPACK block has been be associated with promising outcomes following the ACLR surgery
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
120
patients who receive Genicular nerve block with spinal anathesia .
Benisuef University Hospital
Benisuef, Egypt
RECRUITINGVAS score
Measuring pain intensity regarding mean visual analogue score (VAS score ) ranging from 0 (no pain) to 10 (the worst imaginable pain.
Time frame: 48 hour
Ambulatory score
Ambulatory score from ( 0 to 2) (score of 0) is assigned if the activity cannot be performed despite substantial help (score of 1 )is assigned if the activity is performed using personal physical support. (score of 2) is assigned if the activity is performed independently.
Time frame: Within 48 hour
Time of first rescue analgesia
the time to ask for the first post operative analgesia
Time frame: within 24 hour
Total opioid consumption post operative
Total opioid consumption post operative
Time frame: Within 24 hour
Incidence of occurrence of systemic toxicity
( hypotension ,arrthymias, bradycardia, cardiac arrest, oral numbness and convulsions
Time frame: Within 24 hour
The length of hospital stay .
The length of hospital stay .
Time frame: within one week
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