28 July 2024 : Clinical Research
Enhanced Postoperative Pain Management and Mobility Following Arthroscopic Knee Surgery: A Comparative Study of Adductor Canal Block with and without IPACK Block
Jian Zeng12ABCDEF, Xiongtiao Yang2ACDEF, Hongyi Lei2ACE, Xiao Zhong2BC, Xiaoqin Lu1BD, Xianbao Liu1ACDEFG*, Xiaomin Peng2FDOI: 10.12659/MSM.943735
Med Sci Monit 2024; 30:e943735
Table 2 Postoperative VAS pain scores at rest and during activity in the 3 groups (mean±SD).
| Project | Group A (n=40) | Group B (n=40) | Group C (n=40) | F | P value |
|---|---|---|---|---|---|
| Postoperative VAS score at rest | |||||
| 3 h | 0.00±0.00 | 0.00±0.00 | 0.00±0.00 | – | – |
| 6 h | 0.25±0.49# | 0.73±0.78# | 1.65±0.86 | 37.909 | 0.000 |
| 12 h | 0.75±0.87# | 1.95±0.90# | 2.60±1.10 | 37.819 | 0.000 |
| 24 h | 1.70±1.20# | 2.18±1.08 | 2.55±0.99 | 6.063 | 0.003 |
| 48 h | 1.38±1.08# | 1.68±1.02 | 2.10±0.96 | 5.101 | 0.008 |
| Discharge | 0.30±0.56 | 0.33±0.52 | 0.48±0.60 | 1.129 | 0.327 |
| 1 week after discharge | 0.25±0.44 | 0.28±0.51 | 0.23±0.42 | 0.120 | 0.887 |
| Postoperative VAS score at activity | |||||
| 3 h | 0.00±0.00 | 0.00±0.00 | 0.00±0.00 | – | – |
| 6 h | 0.60±0.87# | 1.45±0.90# | 2.35±0.77 | 42.365 | 0.000 |
| 12 h | 1.03±0.95# | 2.45±0.93# | 3.50±1.01 | 66.331 | 0.000 |
| 24 h | 1.98±1.14# | 2.43±0.98 | 2.88±0.94 | 7.697 | 0.001 |
| 48 h | 1.53±1.11v | 1.75±1.06 | 2.13±1.11 | 3.075 | 0.050 |
| Discharge | 0.70±0.82 | 0.65±0.66 | 1.00±0.68 | 2.727 | 0.070 |
| 1 week after discharge | 0.43±0.55 | 0.50±0.60 | 0.50±0.60 | 0.221 | 0.802 |
| # indicates comparison with Group C, * indicates VAS – Visual Analog Scale. The value is the comparison between groups. The VAS score at rest and activity 3 h after surgery was “0”. Group A – IPACK+ACB+SA (IPACK and ACB were selected as postoperative analgesia in arthroscopic knee surgery under single lumbar anesthesia); Group B – ACB+SA (ACB were selected as postoperative analgesia in arthroscopic knee surgery under single lumbar anesthesia); Group C – SA (nerve block is not selected as postoperative analgesia in arthroscopic knee surgery under single lumbar anesthesia). | |||||