The effect of the application of adductor canal block (ACB) and Infiltration of local anesthetic between the popliteal artery and capsule of the knee (IPACK) block to patients on postoperative recovery and sleep quality following total knee arthroplasty: a randomized, controlled study

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dc.contributor.authorEt, Tayfun
dc.contributor.authorKorkusuz, Muhammet
dc.contributor.authorMenendi, Umman
dc.date.accessioned2025-08-06T10:49:28Z
dc.date.available2025-08-06T10:49:28Z
dc.date.issued31 October 2024
dc.departmentKMÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractThe adductor canal block (ACB) and IPACK (Infiltration of local anesthetic between the popliteal artery and capsule of the knee) block are motor protective blocks that provide effective analgesia and allow early ambulation. The aim of this study was to investigate the effect on postoperative recovery and sleep quality of patients applied with ACB and IPACK for total knee arthroplasty (TKA). Material and Method: This prospective, double-blinded, randomized, controlled study included 80 patients who underwent unilateral TKA under spinal anesthesia. The patients were separated as those applied with ACB+IPACK (Group ACB+IPACK, n=40) and a control group (Group C, n=40). The primary outcome was the postoperative first-day quality of recovery scale (QoR-15). Secondary outcomes were postoperative first and second-day Timed-Up-and-Go (TUG) test and range of motion (ROM), the total amount of rescue opioid drugs required, pain scales at different time points in the first 48 hours postoperatively, sleep evaluation on the postoperative and 6 following nights, and evaluation of sleep quality for 1 month using the Pittsburgh Sleep Quality Index (PSQI). Results: The QoR on postoperative days 1 and 7 were better in the ACB+ IPACK group than in the control group (p= 0.001, p= 0.002, respectively). On postoperative days 1 and 2, the TUG (p= 0.035, p= 0.019, respectively) and ROM (p=0.003, p=0.000) values were higher in the ACB+ IPCAK group. Postoperative opioid consumption was lower in the ACB+IPACK group (p= 0.012). The PSQI values at 1 month postoperatively were similar in both groups (p =0.095). Conclusion: The study results demonstrated that ACB+IPACK applied with ultrasound for TKA postoperative analgesia provided effective analgesia, higher QoR and physical performance, and reduced postoperative opioid consumption. However, there was no effect on postoperative sleep quality.
dc.identifier.doi10.54005/geneltip.1404497
dc.identifier.endpage615
dc.identifier.issn26023741
dc.identifier.issue5
dc.identifier.startpage609
dc.identifier.urihttps://www.doi.org/10.54005/geneltip.1404497
dc.identifier.urihttps://hdl.handle.net/11492/10977
dc.identifier.volume34
dc.indekslendigikaynakScopus
dc.institutionauthorEt, Tayfun
dc.institutionauthorKorkusuz, Muhammet
dc.institutionauthorMenendi, Umman
dc.institutionauthoridEt, Tayfun/0000-0002-0111-3360
dc.institutionauthoridKorkusuz, Muhammet/0000-0003-2534-5243
dc.institutionauthoridMenendi, Umman/0000-0002-6710-0212
dc.language.isoen
dc.publisherSelcuk University
dc.relation.ispartofGenel Tip Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectKnee Arthroplasty Öz
dc.subjectLower Extremity
dc.subjectPain Management
dc.subjectPostoperative Pain
dc.titleThe effect of the application of adductor canal block (ACB) and Infiltration of local anesthetic between the popliteal artery and capsule of the knee (IPACK) block to patients on postoperative recovery and sleep quality following total knee arthroplasty: a randomized, controlled study
dc.title.alternativeTotal diz artroplastisi sonrası hastalara adduktor ve IPACK blok uygulamasının ameliyat sonrası iyileşme ve uyku kalitesi üzerine etkisi: randomize, kontrollü bir çalışma”
dc.typeArticle

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