الفهرس 
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Abstract
Summary
rthroscopic Knee surgeries are needed in a wide range of patients, from young athletes with anterior cruciate ligament injuries or meniscal tears up to old patients with comorbidities presenting for arthroscopy. The trend is fast track knee surgery with early ambulation and hospital discharge, so analgesic options of neuraxial blocks and proximal nerve blocks are less attractive due to the unavoidable muscle weakness. In this study, the benefit of pure sensory nerve block could be reached.
The study aimed to compare the postoperative range of motion and the analgesic efficacy of adductor canal block (ACB) alone against adductor canal with IPACK (interspace between popliteal artery and capsule of the knee) block in Arthroscopic knee surgeries.
Our study is a randomized, prospective, comparative study where 40 patients subjected to Arthroscopic knee surgeries were randomized into two groups, group (A): patients in this group received ultrasound guided Adductor canal block only; group (B): under ultrasound guide, patients in this group received a combined adductor canal block and IPACK block at the start of surgery.
A
Summary
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Our study revealed that regardless of the good analgesic effect of ACB, patients who received a combination of ACB and IPACK blocks have experienced a better pain control and a longer walking distance following surgery when compared to patients who received ACB alone. Additionally, there was statistically significant difference between groups in terms of opioid needs or consumption.