[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100618844":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":30,"centralContacts":40,"locations":25,"responsibleParty":49,"collaborators":25,"id":52,"slug":53,"hasResults":54,"nctId":55,"briefTitle":56,"officialTitle":57,"acronym":25,"eligibilityCriteria":58,"healthyVolunteers":54,"sex":59,"minAge":60,"maxAge":61,"enrollmentInfo":62,"targetDuration":25,"studyType":65,"phases":66,"briefSummary":68,"conditions":69,"keywords":71,"overallStatus":73,"whyStopped":25,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":78,"completionDateStruct":80,"leadSponsor":82,"locationsCount":25},{"fullName":5,"class":6},"Fayoum University Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"ACB\u002FGIP group","EXPERIMENTAL","Adductor canal block will be given. In supine position, the leg will be externally rotated and the probe will be positioned at the midpoint of the thigh on its medial aspect. The adductor canal (AC) will be located anterolaterally to the superficial femoral artery deep to the sartorius muscle. The needle (size) will be advanced and a particular \"pop\" will be felt when the tip pierced the vastoadductor membrane, which is the roof of the adductor canal. A single dose of (20 ml of 0.25% bupivacaine) will be injected.\n\nThe gastrosoleus interfascial plane block will be given along the medial border of the leg in long axis, 7 cm-8 cm below the popliteal crease. After identification of muscle bellies of the medial gastrocnemius head, the soleus and the trilaminar fascial plane between these muscles, 20 ml of bupivacaine 0.25% will be injected at this plane by piercing the fascia.",[13],"Procedure: Adductor Canal Block (ACB) + gastrosoleus interfascial plane block",{"label":15,"type":10,"description":16,"interventionNames":17},"ACB\u002FIPACK group","Adductor canal block will be given. In supine position, the leg will be externally rotated and the probe will be positioned at the midpoint of the thigh on its medial aspect. The adductor canal (AC) will be located anterolaterally to the superficial femoral artery deep to the sartorius muscle. The needle (size) will be advanced and a particular \"pop\" will be felt when the tip pierced the vastoadductor membrane, which is the roof of the adductor canal. A single dose of (20 ml of 0.25% bupivacaine) will be injected.\n\nThe patients will receive IPACK with the patient placed in a supine position and knee placed in position of 90° flexion. By placing a low-frequency ultrasound probe in the popliteal crease the spinal needle will be advanced from medial aspect of the knee going from anteromedial to posterolateral between the popliteal artery and the femur. The tip of the needle will be placed 1-2 cm beyond the lateral edge of the artery, and 20 ml of 0.25% bupivacaine will be injected.",[18],"Procedure: Adductor Canal Block (ACB) + iPACK Block",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Adductor Canal Block (ACB) + gastrosoleus interfascial plane block","Adductor canal block will be given. In supine position, the leg will be externally rotated and the probe will be positioned at the midpoint of the thigh on its medial aspect. The adductor canal (AC) will be located anterolaterally to the superficial femoral artery deep to the sartorius muscle. The needle (size) will be advanced and a particular \"pop\" will be felt when the tip pierced the vastoadductor membrane, which is the roof of the adductor canal. A single dose of (20 ml of 0.25% bupivacaine) will be injected.\n\nThe patients will receive gastrosoleus interfascial plane block. Using a linear probe the transducer will be placed along the medial border of the leg in long axis, 7 cm-8 cm below the popliteal crease. After identification of muscle bellies of the medial gastrocnemius head, the soleus and the trilaminar fascial plane between these muscles, 20 ml of bupivacaine 0.25% will be injected at this plane by piercing the fascia (loss of resistance).",[9],null,{"type":21,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Adductor Canal Block (ACB) + iPACK Block","Adductor canal block will be given. In supine position, the leg will be externally rotated and the probe will be positioned at the midpoint of the thigh on its medial aspect. The adductor canal (AC) will be located anterolaterally to the superficial femoral artery deep to the sartorius muscle. The needle (size) will be advanced and a particular \"pop\" will be felt when the tip pierced the vastoadductor membrane, which is the roof of the adductor canal. A single dose of (20 ml of 0.25% bupivacaine) will be injected.\n\nThe patients will recieve IPACK with the patient placed in a supine position and knee placed in position of 90° flexion. By placing a low-frequency ultrasound probe in the popliteal crease the spinal needle will be advanced from medial aspect of the knee going from anteromedial to posterolateral between the popliteal artery and the femur. The tip of the needle will be placed 1-2 cm beyond the lateral edge of the artery, and 20 ml of 0.25% bupivacaine will be injected.",[15],[31,35,38],{"name":32,"affiliation":33,"role":34},"Alyaa A Hassan, lecturer","Faculty of medicine, Fayoum university","PRINCIPAL_INVESTIGATOR",{"name":36,"affiliation":33,"role":37},"Mohamed A Shawky, Associate professor","STUDY_DIRECTOR",{"name":39,"affiliation":33,"role":34},"Omar S Farghaly, Associate professor",[41,45],{"name":32,"role":42,"phone":43,"phoneExt":25,"email":44},"CONTACT","01091169956 +2","aam17@fayoum.edu.eg",{"name":46,"role":42,"phone":47,"phoneExt":25,"email":48},"Rana A Atia, lecturer","01002360634 +2","Raa11@fayoum.edu.eg",{"type":34,"investigatorFullName":50,"investigatorTitle":51,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"alyaa abdel sattar mohamed hassan","lecturer","100618844","adductor-canal-block-and-ipack-block-vs-adductor-canal-block-and-the-gastrosoleus-interfascial-block-after-total-knee-arthroplasty-100618844",false,"NCT07336901","Adductor Canal Block and IPACK Block vs Adductor Canal Block and the Gastrosoleus Interfascial Block After Total Knee Arthroplasty","Comparison of Adductor Canal Block and IPACK Block Versus Adductor Canal Block and the Gastrosoleus Interfascial Plane Block for Postoperative Analgesia After Total Knee Arthroplasty: a Prospective Double Blinded Study","Inclusion Criteria:\n\n* Patients of ASA class I to III of both sexes\n* undergoing unilateral total knee arthroplasty\n* 40-80 years old\n\nExclusion Criteria:\n\n* Patient refusal\n* History of coagulopathies\n* Severe renal insufficiency\n* Preexisting lower limb neurological abnormality\n* Known allergic history to any of the drugs used in this study","ALL","40 Years","80 Years",{"count":63,"type":64},86,"ESTIMATED","INTERVENTIONAL",[67],"NA","Evaluate analgesic efficacy of adductor canal block with IPACK versus that of adductor canal block with gastrosoleus interfascial plane block in total knee arthroplasty surgeries.",[70],"Pain After Knee Arthroplasty",[72],"gastrosoleus interfascial plane block, knee arthroplasty","NOT_YET_RECRUITING","2026-01-07",{"date":76,"type":77},"2026-01-13","ACTUAL",{"date":79,"type":64},"2026-02",{"date":81,"type":64},"2026-10",{"name":5,"class":6}]