Evidence map›Paper›PMID 29721648›Full record

Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018

Comparison of adductor canal block and IPACK block (interspace between the popliteal artery and the capsule of the posterior knee) with adductor canal block alone after total knee arthroplasty: a prospective control trial on pain and knee function in immediate postoperative period.

S R Sankineani, A R C Reddy, Krishna Kiran Eachempati, Ajit Jangale, A V Gurava Reddy

8 registry-linked trialsAbstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 59 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 5 pooled it
16.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03653416 phase4completednot on this map

Comparison Between Ipack Block and Periarticular Infiltration in Total Knee Arthroplasty - a Randomized Control Trial

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2018 to 2019Enrolled99ConditionsOsteo Arthritis KneeArmsIpack, Bupivacaine, Peri Articular Infiltration
NCT04290442 phase4withdrawnnot on this mapstarted 2021, after this paper: background citation

A Prospective Randomized Parallel Study to Compare Post-operative Pain Control With Addition of Sensory Posterior Articular Nerve Block to Adductor Canal Block (SPANK) and Intraoperative Periarticular Infiltration in Total Knee Arthroplasty.

TypeinterventionalSponsorBruce Ben-DavidRan2021 to 2021Enrolled0ConditionsArthroplasty, Replacement, Knee, Anesthesia, Conduction, Acute PainArmsadductor canal block, SPANK, Ropivacaine
NCT05100706 nacompletednot on this mapstarted 2023, after this paper: background citation

Continuous Adductor Canal Block in Outpatient Total Knee Arthroplasty

TypeinterventionalSponsorUniversity of TorontoRan2023 to 2025Enrolled60ConditionsKnee Arthroplasty, Total, Anesthesia, Regional, Acute PainArmsContinuous adductor canal block (CACB), Sham continuous adductor canal block (ShACB).
NCT05313269 nacompletednot on this mapstarted 2022, after this paper: background citation

Inter-fascial Plane Between the SArtorius Muscle and FEmoral Artery (ISAFE): a Novel Technique for Adductor Canal Catheter Insertion.

TypeinterventionalSponsorUniversity of TorontoRan2022 to 2023Enrolled100ConditionsAnesthesia, Conduction, Arthroplasty, Replacement, KneeArmsISAFE technique for adductor canal catheter insertion, Conventional technique for adductor canal catheter insertion
NCT05924412 phase4completednot on this mapstarted 2023, after this paper: background citation

A Randomized Comparison Between Parecoxib and Placebo Added to a Standard Perioperative Analgesic Protocol for Total Knee Arthroplasty

TypeinterventionalSponsorUniversity of ChileRan2023 to 2024Enrolled40ConditionsPain, Postoperative, Pain, Acute, Analgesia, Analgesic NephropathyArmsIntravenous study drug, Intravenous saline solution
NCT05943080 nacompletednot on this mapstarted 2023, after this paper: background citation

Comparison of Adductor Canal Block Combined With IPACK Block and Adductor Canal Block Combined With PCI for Postoperative Analgesia and Function Recovery Following Total Knee Arthroplasty:A Prospective, Double-Blind, Randomized Controlled Study

TypeinterventionalSponsorKirsehir Ahi Evran UniversitesiRan2023 to 2023Enrolled195ConditionsTotal Knee ArthroplastyKnee Pain, FunctionalityArmsPCI (0.25% marcaine+ 2.0 μg/mL of adrenaline + %0.9 saline), IPACK(0.25% marcaine+ 2.0 μg/mL of adrenaline + %0.9 saline), ACB ( 0.25% marcaine + %0.9 saline)
NCT05962970 nacompletednot on this mapstarted 2023, after this paper: background citation

Continuous Adductor Canal Block in Fast Track Total Knee Arthroplasty

TypeinterventionalSponsorSamuel Lunenfeld Research Institute, Mount Sinai HospitalRan2023 to 2025Enrolled60ConditionsTotal Knee ArthroplastyArmscontinuous adductor canal block (CACB) ropivacaine, sham continuous adductor canal block - ShACB NaCl
NCT06431906 unknown statusnot on this mapstarted 2024, after this paper: background citation

TRANSDERMAL FENTANYL AS A FORM OF REBOUND PAIN REDUCTION IN FAST TRACK PROGRAMME IN PRIMARY KNEE ARTHROPLASTY. Prospective Observational Non-inferiority Study Versus Morphine PCA.

TypeobservationalSponsorOscar Diaz-CambroneroRan2024 to 2026Enrolled106ConditionsPostoperative Pain
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 5 syntheses or guidelines pooled it, 148 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

S R SankineaniDepartment of Orthopaedics, Sunshine Hospital, P.G.Road, Secunderabad, Telangana, India.
A R C ReddyDepartment of Anaesthesia, Mediciti Institute of Medical Sciences, Medchal, Hyderabad, India. sukeshrao.sankineni@gmail.com.
Krishna Kiran EachempatiDepartment of Orthopaedics, Maxcure Hospital, Madhapur, Hyderabad, Telangana, India.
Ajit JangaleDepartment of Orthopaedics, Sunshine Hospital, P.G.Road, Secunderabad, Telangana, India.
A V Gurava ReddyDepartment of Orthopaedics, Sunshine Hospital, P.G.Road, Secunderabad, Telangana, India.
Sunshine Hospitals · INMaxCure Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdductor canal block (ACB) is a peripheral nerve blockade technique that provides good pain control in patients undergoing total knee arthroplasty which however does not relieve posterior knee pain. The recent technique of an ultrasound-guided local anesthetic infiltration of the interspace between popliteal artery and the capsule of posterior knee (IPACK) has shown promising results in providing significant posterior knee analgesia without affecting the motor nerves. MATERIALS AND

methodsA prospective study was conducted from September 2016 to March 2017 in a total of 120 patients undergoing unilateral total knee arthroplasty. The initial 60 consecutive patients received ACB + IPACK (Group 1, n = 60), and the subsequent 60 patients received ACB alone (Group 2, n = 60). All patients were evaluated with VAS score for pain recorded at 8 h, postoperative day (POD) 1 and POD 2 after the surgery. The secondary outcome measures assessed were the range of movement (ROM) and ambulation distance.

resultsVAS score showed significantly (p < 0.005) better values in ACB + IPACK group compared to the ACB group. The mean ROM of knee and ambulation distance also showed significantly better values in ACB + IPACK group compared to the ACB group.

conclusionACB + IPACK is a promising technique that offers improved pain management in the immediate postoperative period without affecting the motor function around the knee joint resulting in better ROM and ambulation compared to ACB alone.

Indexed as

Arthroplasty, Replacement, KneeAnesthetics, LocalFemaleFemoral NerveHumansJoint CapsuleKnee JointMaleMiddle AgedNerve BlockPilot ProjectsPopliteal ArteryPostoperative PainProspective StudiesRecovery of FunctionUltrasonography, InterventionalAnesthetics, LocalAdductor canal blockIPACKKnee arthroplastyPostoperative analgesia

Identifiers

PMID29721648
OpenAlexW2802850374

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 2 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.