Comparison between Ultrasound Guided The Genicular Nerve Block And Infiltration Between The Popliteal Artery And The Capsule Of The Posterior Knee (IPACK) Block for Post-Operative Pain Relief in Total Knee Replacement Surgery

Authors

Mohamed Hussein, Department of Anesthesia, intensive care and pain management, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.
Mohamed Hamada, Department of Anesthesia, intensive care and pain management, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.
Othman Saad-Eldien Yahia Mousa, Department of Anesthesia, intensive care and pain management, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.
Salah Mohamed Salah Bazina, Department of Anesthesia, intensive care and pain management, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.Follow

Document Type

Original Article

Abstract

Background; Total knee replacement (TKR) is the optimal option for individuals with advanced knee joint disease, it has the advantages of both pain relief and improved joint function, but still faces some difficulties. The most challenging factor after TKR is pain control, so the invention of an ultrasound-guided nerve block is optimal option.

Aim and objectives: In the study, the effectiveness of genicular nerve block and IPACK block was compared with regard to postoperative pain levels, the necessity of rescue analgesics, ROM, and walking distance in cases of TKR.

Subjects and Methods: This prospective, randomised, double-blinded study was carried out in the hospitals of Al-Azhar University and involved 60 patients, divided equally into two groups based on sample size: The groupings consisted of the following: the genicular nerve block and the IPACK block group.

Result; A comparison of ultrasound-guided genicular nerve block and IPACK block (infiltration between the popliteal artery and the posterior knee capsule) for the treatment of post-operative pain following total knee replacement surgery. Conclusion: The genicular block is a promising treatment that enhances pain control in the immediate and early postoperative period, in conclusion. Before and after TKR surgery, IPACK and genicular blocks are utilised to improve patient comfort, perhaps reducing the need for systemic analgesics and opioids.

Keywords

Ultrasound Guided Genicular Nerve Block; Infiltration Popliteal Artery Capsule Of The Posterior Knee (IPACK) Block; Post-Operative Pain Relief; Total Knee Replacement Surgery.

Subject Area

Anesthesiology

How to Cite This Article

Hussein, Mohamed; Hamada, Mohamed; Mousa, Othman Saad-Eldien Yahia; and Bazina, Salah Mohamed Salah (2023) "Comparison between Ultrasound Guided The Genicular Nerve Block And Infiltration Between The Popliteal Artery And The Capsule Of The Posterior Knee (IPACK) Block for Post-Operative Pain Relief in Total Knee Replacement Surgery," Al-Azhar International Medical Journal: Vol. 4: Iss. 7, Article 40.
DOI: https://doi.org/10.58675/2682-339X.1889