A Comparative Study between Adductor Canal Block and IPACK Block vs ACB Alone vs IPACK Alone after Total Knee Arthroplasty for Post Operative Pain and Mobility

ACB + IPACK is a promising technique that offers improved pain management in the immediate postoperative period without affecting the motor function around the knee joint resulting in better ROM and ambulation compared to ACB alone and IPACK alone.Adductor canal block (ACB) is a peripheral nerve blockade technique that provides good pain control in patients undergoing total knee arthroplasty which however does not relieve posterior knee pain. The recent technique of an ultrasound-guided local anesthetic infiltration of the interspace between popliteal artery and the capsule of posterior knee (IPACK) has shown promising results in providing significant posterior knee analgesia without affecting the motor nerves In this study we will evaluate the effect of ACB plus IPACK vs ACB only VS IPACK only in patients post unilateral knee arthroplasty on post operative pain and mobility.Aim of This study is aiming to evaluate the effect of ACB plus IPACK vs ACB only VS IPACK only in patients post unilateral knee arthroplasty on post operative pain and mobility. To minimize the usage of total dose of narcotics postoperative