Enhanced Postoperative Pain Management and Mobility Following Arthroscopic Knee Surgery: A Comparative Study of Adductor Canal Block with and without IPACK Block

Jian Zeng; Xiongtiao Yang; Hongyi Lei; Xiao Zhong; Xiaoqin Lu; Xianbao Liu; Xiaomin Peng

doi:10.12659/MSM.943735

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 Zeng^12ABCDEF, Xiongtiao Yang^2ACDEF, Hongyi Lei^2ACE, Xiao Zhong^2BC, Xiaoqin Lu^1BD, Xianbao Liu^1ACDEFG*, Xiaomin Peng^2F

DOI: 10.12659/MSM.943735

Med Sci Monit 2024; 30:e943735

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Table 6 Subgroup analysis of postoperative VAS scores after different types of surgery (mean±SD).

	Type 1 Group		P1	Type 2 Group		P2	Type 3 Group		P3
Postoperative VAS score at rest

6 h	A1	0.3±0.571	0.00^*	A2	0.18±0.405	0.002^*	A3	0.22±0.441	0.00^*
	B1	0.48±0.602		B2	0.33±0.707		B3	1.6±0.516
	C1	1.43±0.87		C2	1.7±1.059		C3	2.11±0.333

12 h	A1	0.65±0.813	0.00^*	A2	0.73±0.905	0.00^*	A3	1.0±1.0	0.00^*
	B1	1.48±0.873		B2	2.22±0.667		B3	2.7±0.483
	C1	2.14±0.964		C2	2.8±1.033		C3	3.44±1.014

24 h	A1	1.0±1.026	0.005^*	A2	1.82±0.603	0.006^*	A3	3.11±0.782	0.648
	B1	1.52±0.928		B2	2.56±0.527		B3	3.2±0.789
	C1	2.05±0.921		C2	2.8±0.789		C3	3.44±0.527

48 h	A1	0.8±0.834	0.012^*	A2	1.36±0.809	0.012^*	A3	2.67±0.707	0.689
	B1	1.0±0.837		B2	2.11±0.333		B3	2.7±0.675
	C1	1.67±0.966		C2	2.3±0.675		C3	2.89±0.601

Postoperative VAS score at activity

6 h	A1	0.6±0.955	0.00^*	A2	0.91±0.831	0.004^*	A3	0.22±0.441	0.00^*
	B1	1.19±0.873		B2	1.33±0.866		B3	2.1±0.738
	C1	2.19±0.814		C2	2.4±0.843		C3	2.67±0.5

12 h	A1	0.85±0.993	0.00^*	A2	0.91±0.944	0.00^*	A3	1.56±0.882	0.00^*
	B1	1.95±0.669		B2	2.78±1.093		B3	3.2±0.632
	C1	3.14±0.854		C2	3.8±0.919		C3	4±1.225

24 h	A1	1.3±1.129	0.001^*	A2	2.18±0.405	0.024^*	A3	3.22±0.441	0.397
	B1	1.81±0.75		B2	2.89±0.782		B3	3.3±0.675
	C1	2.48±0.873		C2	3.1±0.994		C3	3.56±0.527

48 h	A1	0.9±0.852	0.105	A2	1.55±0.82	0.067	A3	2.89±0.601	0.797
	B1	1.19±0.981		B2	1.89±0.61		B3	2.8±0.632
	C1	1.57±1.028		C2	2.5±0.972		C3	3±0.707
^* indicates VAS – visual analog scale; Type 1 Group – meniscal trimming molding Group; Type 2 Group – meniscal repair molding+popliteal cyst resection Group; type 3 Group – cruciate ligament reconstruction surgery Group. A1, B1, and C1 represent the subgroup analysis of Groups A, B, and C, respectively, in arthroscopic meniscus repair. A2, B2, and C2 represent the subgroup analysis of Group A, B, and C, respectively, in arthroscopic meniscal repair molding+popliteal cyst resection. A3, B3, and C3 represent the subgroup analysis of Groups A, B, and C, respectively, in arthroscopic cruciate ligament reconstruction surgery.

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Enhanced Postoperative Pain Management and Mobility Following Arthroscopic Knee Surgery: A Comparative Study of Adductor Canal Block with and without IPACK Block

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