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

28 July 2024 : Clinical Research

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

Introduction Material and Methods Results Discussion Conclusions References

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Table 7 Subgroup analysis of different indicators after different types of surgery (mean±SD).

	Type 1 Group		P1	Type 2 Group		P2	Type 3 Group		P3
Frequency of postoperative rescue analgesia	A1	0.05±0.224	0.007^*	A2	0.00±0.0	0.012^*	A3	0.67±0.5	0.002^*
	B1	0.1±0.301		B2	0.33±0.5		B3	1.5±0.71
	C1	0.29±0.463		C2	0.7±0.68		C3	2.0±0.71

Postoperative maximum walking distance (m)

24 h	A1	25.73±12.32	0.021^*	A2	20.55±15.0	0.739	A3	25.56±11.65	0.337
	B1	18.81±14.07		B2	19.90±14.77		B3	20.8±12.17
	C1	16.48±10.22		C2	17.55±10.39		C3	18.67±11.21

48 h	A1	70.55±31.68	0.023^*	A2	58.55±39.81	0.749	A3	67.67±30.73	0.372
	B1	54.14±33.98		B2	54.67±37.95		B3	58.4±30.78
	C1	46.05±24.46		C2	48.7±26.16		C3	51.44±26.72

Postoperative complications (nausea)	A1	1 (5.0)	0.534	A2	0 (0.0)	0.063	A3	0 (0.0)	0.231
	B1	0 (0.0)		B2	2 (22.02)		B3	2 (20.0)
	C1	2 (9.5)		C2	4 (40.0)		C3	3 (33.3)

Postoperative complications (vomiting)	A1	1 (5.0)	0.323	A2	0 (0.0)	0.01^*	A3	0 (0.0)	0.231
	B1	0 (0.0)		B2	1 (11.1)		B3	2 (20.0)
	C1	0 (0.0)		C2	5 (50.0)		C3	3 (33.3)
^* indicates 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 Groups 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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