The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty
Background: This study aimed to evaluate the impact of Infiltration between the Popliteal Artery and Capsule of the posterior Knee (IPACK) combined with an adductor canal block under the guidance of ultrasound on early motor function after Total Knee Arthroplasty (TKA). Methods: A sample of 60 cases...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Brazilian Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001421001706 |
| _version_ | 1811199931185102848 |
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| author | Fang-Yu Zheng Yong-Bo Liu Hui Huang Shuai Xu Xiao-Jun Ma Ying-Zhi Liu Hai-Chen Chu |
| author_facet | Fang-Yu Zheng Yong-Bo Liu Hui Huang Shuai Xu Xiao-Jun Ma Ying-Zhi Liu Hai-Chen Chu |
| author_sort | Fang-Yu Zheng |
| collection | DOAJ |
| description | Background: This study aimed to evaluate the impact of Infiltration between the Popliteal Artery and Capsule of the posterior Knee (IPACK) combined with an adductor canal block under the guidance of ultrasound on early motor function after Total Knee Arthroplasty (TKA). Methods: A sample of 60 cases who were scheduled for elective unilateral TKA were divided into two groups using random number table method: a group with IPACK combined with an adductor canal block (I group, n = 30), and a group with femoral nerve block combined with superior popliteal sciatic nerve block (FS group, n = 30). Before anesthesia induction was completed, the patients in I group received an ultrasound-guided adductor canal block with 15 mL of 0.375% ropivacaine and an IPACK block with 25 mL of ropivacaine, and the patients in FS group received a femoral nerve block and a superior popliteal sciatic nerve block with 20 mL of 0.375% ropivacaine under ultrasound guidance. Post-operation, all the patients received patient-controlled intravenous analgesia combined with an oral celecoxib capsule to relieve pain and maintain a visual analogue scale score of ≤ 3. Results: The quadriceps femoris muscle strength score was significantly higher in Ⅰ group than in FS group (p = 0.001), while the modified Bromage score were significantly lower and walking distance results were significantly higher in Ⅰ group than in FS group (both p = 0.000). Conclusion: Compared with femoral nerve block combined with superior popliteal sciatic nerve block, IPACK combined with adductor canal block had a mild impact on early motor functions after TKA. |
| first_indexed | 2024-04-12T01:56:14Z |
| format | Article |
| id | doaj.art-c19893d0756a4b01ba07ebb660c43436 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-12T01:56:14Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-c19893d0756a4b01ba07ebb660c434362022-12-22T03:52:48ZengElsevierBrazilian Journal of Anesthesiology0104-00142022-01-01721110114The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplastyFang-Yu Zheng0Yong-Bo Liu1Hui Huang2Shuai Xu3Xiao-Jun Ma4Ying-Zhi Liu5Hai-Chen Chu6The Affiliated Hospital of Qingdao University, Department of Anesthesiology, Qingdao, China; Women and Children’s Hospital, Qingdao University, Department of Anesthesiology, Qingdao, ChinaThe Affiliated Hospital of Qingdao University, Department of Operating Room, Qingdao, ChinaThe Affiliated Hospital of Qingdao University, Department of Anesthesiology, Qingdao, ChinaThe Affiliated Hospital of Qingdao University, Department of Cardiovascular Surgery Intensive Care Unit, Qingdao, ChinaThe Affiliated Hospital of Qingdao University, Department of Anesthesiology, Qingdao, ChinaThe Affiliated Hospital of Qingdao University, Department of Anesthesiology, Qingdao, China; Corresponding author.The Affiliated Hospital of Qingdao University, Department of Anesthesiology, Qingdao, ChinaBackground: This study aimed to evaluate the impact of Infiltration between the Popliteal Artery and Capsule of the posterior Knee (IPACK) combined with an adductor canal block under the guidance of ultrasound on early motor function after Total Knee Arthroplasty (TKA). Methods: A sample of 60 cases who were scheduled for elective unilateral TKA were divided into two groups using random number table method: a group with IPACK combined with an adductor canal block (I group, n = 30), and a group with femoral nerve block combined with superior popliteal sciatic nerve block (FS group, n = 30). Before anesthesia induction was completed, the patients in I group received an ultrasound-guided adductor canal block with 15 mL of 0.375% ropivacaine and an IPACK block with 25 mL of ropivacaine, and the patients in FS group received a femoral nerve block and a superior popliteal sciatic nerve block with 20 mL of 0.375% ropivacaine under ultrasound guidance. Post-operation, all the patients received patient-controlled intravenous analgesia combined with an oral celecoxib capsule to relieve pain and maintain a visual analogue scale score of ≤ 3. Results: The quadriceps femoris muscle strength score was significantly higher in Ⅰ group than in FS group (p = 0.001), while the modified Bromage score were significantly lower and walking distance results were significantly higher in Ⅰ group than in FS group (both p = 0.000). Conclusion: Compared with femoral nerve block combined with superior popliteal sciatic nerve block, IPACK combined with adductor canal block had a mild impact on early motor functions after TKA.http://www.sciencedirect.com/science/article/pii/S0104001421001706IPACKPeripheral nerve blocksRegional anesthesiaAdductor canal blockTotal knee arthroplasty |
| spellingShingle | Fang-Yu Zheng Yong-Bo Liu Hui Huang Shuai Xu Xiao-Jun Ma Ying-Zhi Liu Hai-Chen Chu The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty Brazilian Journal of Anesthesiology IPACK Peripheral nerve blocks Regional anesthesia Adductor canal block Total knee arthroplasty |
| title | The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty |
| title_full | The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty |
| title_fullStr | The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty |
| title_full_unstemmed | The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty |
| title_short | The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty |
| title_sort | impact of ipack combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty |
| topic | IPACK Peripheral nerve blocks Regional anesthesia Adductor canal block Total knee arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S0104001421001706 |
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