Postoperative Analgesic Efficacy of ACB+iPACK vs FTB+Selective Tibial+Obturator Blocks in ACL Reconstruction
NCT07702552 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2026-07-14
Summary
This prospective, comparative study aims to evaluate the postoperative analgesic efficacy of ultrasound-guided Adductor Canal Block (ACB) combined with iPACK block versus Femoral Triangle Block (FTB) combined with selective tibial nerve block and obturator nerve block in patients undergoing arthroscopic anterior cruciate ligament (ACL) reconstruction. The primary objective is to determine which regional anesthesia regimen provides superior pain relief at rest and during movement. The secondary objectives include assessing morphine consumption, motor blockade using the Bromage score, patient satisfaction, and potential adverse effects of these anesthesia techniques.
Conditions
- Anterior Cruciate Ligament Injuries
- Postoperative Pain
Interventions
- PROCEDURE
-
Ultrasound-guided Adductor Canal Block (ACB)
Ultrasound-guided administration of 10 mL levobupivacaine 0.2% into the adductor canal space to provide postoperative analgesia
- PROCEDURE
-
Ultrasound-guided iPACK block
Ultrasound-guided administration of 15 mL levobupivacaine 0.2% into the space between the popliteal artery and the posterior capsule of the knee to provide posterior knee analgesia.
- PROCEDURE
-
Ultrasound-guided Femoral Triangle Block (FTB)
Ultrasound-guided administration of 10 mL levobupivacaine 0.2% at the distal apex of the femoral triangle to provide anterior and medial knee analgesia
- PROCEDURE
-
Ultrasound-guided Selective Tibial Nerve Block
Ultrasound-guided administration of 5 mL levobupivacaine 0.2% around the tibial nerve in the popliteal fossa
- PROCEDURE
-
Ultrasound-guided Obturator Nerve Block
Ultrasound-guided administration of 10 mL levobupivacaine 0.2% targeting the anterior and posterior branches of the obturator nerve within the fascial planes between the adductor muscles.
Sponsors & Collaborators
-
Da Nang Hospital
lead OTHER
Principal Investigators
-
Nhan T Phan, MD. MSc · Da Nang Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-31
- Primary Completion
- 2027-03-31
- Completion
- 2027-03-31
More Related Trials
-
Femoral Triangle Block Versus Adductor Canal Block in Arthroscopic Anterior Cruciate Ligament Reconstruction
NCT06402110 ·Status: COMPLETED ·Phase: NA
-
Postoperative Analgesic Benefit of iPACK Block in the Anterior Cruciate Ligament Reconstruction Surgery
NCT05136352 ·Status: COMPLETED ·Phase: NA
-
Comparative Study Between Ultrasound-Guided IPACK Block (Interspace Between the Popliteal Artery and the Posterior Capsule of the Knee) with Adductor Canal Block Versus Adductor Canal Block Alone for Postoperative Pain Management in Total Knee Arthroplasty
NCT06783712 ·Status: RECRUITING ·Phase: PHASE1
-
IPACK Block Versus Adductor Canal Block in High Tibeal Osteotomy
NCT05271188 ·Status: UNKNOWN ·Phase: NA
-
Adductor Canal Block and IPACK Block vs. Isolated Adductor Canal Block for Post-Operative Analgesia Following ACL Reconstruction With Bone Patellar Tendon Bone Autograft:
NCT05286307 ·Status: COMPLETED ·Phase: PHASE4
-
IPACK or Selective Tibial Nerve Block for ACL Reconstruction With an Adductor Canal Block
NCT05303233 ·Status: COMPLETED ·Phase: NA
-
Adductor Canal Block Versus Femoral Block on Pain and Quadriceps Strength
NCT05190120 ·Status: COMPLETED ·Phase: PHASE4
-
Adductor Canal Block and IPACK Block vs Adductor Canal Block and the Gastrosoleus Interfascial Block After Total Knee Arthroplasty
NCT07336901 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Adductor Canal Block In Anterior Cruciate Ligament (ACL) Repair
NCT01791036 ·Status: COMPLETED ·Phase: NA
-
Ultrasound Guided Adductor Canal Versus Femoral Nerve Blocks for Anterior Cruciate Ligament Reconstruction in Pediatrics
NCT03053401 ·Status: COMPLETED ·Phase: NA
-
Comparison of Combination of Proximal ACB and iPACK With Large-Volume Distal ACB for Early Mobilization After TKR
NCT06525493 ·Status: COMPLETED ·Phase: NA
-
Adductor Canal Block With IPACK Versus Genicular Nerves Block With IPACK for Post-operative Analgesia
NCT07258277 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparing Adductor Canal Block and Adductor Canal Block-Local Infiltration Analgesia for Post-operative Pain Management
NCT04721119 ·Status: UNKNOWN ·Phase: NA
-
The Efficacy of Adductor-Canal-Block (ACB) in Patients After Knee Arthroscopy
NCT01254825 ·Status: COMPLETED ·Phase: PHASE4
-
Femoral Triangle Block vs Adductor Canal Block on Early Quadriceps Function After Total Knee Arthroplasty
NCT07524387 ·Status: RECRUITING ·Phase: NA
-
Adductor Canal Block Methods in Bilateral Total Knee Arthroplasty
NCT07506629 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Adductor Canal Block With IPACK Versus 4-in-1 Block for Postoperative Analgesia in Knee Surgery
NCT07700797 ·Status: COMPLETED ·Phase: NA
-
Comparison of Pain Relief Post Knee Arthroscopy Using IPACK + Adductor Canal Block Vs. Adductor Canal Block Alone
NCT06265441 ·Status: COMPLETED ·Phase: NA
-
ACB Versus IA Analgesia in Knee Arthroscopy
NCT04715152 ·Status: COMPLETED ·Phase: PHASE2
-
IPACK Block After Total Knee Arthroplasty
NCT04295421 ·Status: COMPLETED ·Phase: NA
-
Pain Levels and Opioid Usage in Three Nerve Block Cohorts in Primary TKA
NCT04292392 ·Status: WITHDRAWN ·Phase: NA
-
Comparison of Anterior Sciatic Nerve Block and Adductor Magnus Muscle Plane Block for Anterior Cruciate Ligament Surgery
NCT07601529 ·Status: COMPLETED ·Phase: NA
-
Continuous Adductor Canal Blocks Vs. Low Dose Femoral Nerve Blocks For Early Rehabilitation After Total Knee Arthroplasty
NCT02453321 ·Status: COMPLETED ·Phase: PHASE4
-
A Comparative Study of Combined Adductor Canal and Interspace Between Popliteal Artery and Knee Capsule Versus Combined Adductor Canal and Genicular Nerve in Total Knee Arthroplasty
NCT06864663 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Daily Single Shot Adductor Canal Block Versus Continuous Adductor Canal Block After Total Knee Arthroplasty
NCT05727137 ·Status: COMPLETED ·Phase: NA