The aim of this study is to compare the postoperative analgesic efficacy and functional outcomes of the IPACK+Adductor Canal Block with the Genicular Nerve Block+Adductor Canal Block block in patients undergoing total knee arthroplasty (TKA). The primary objective (measurable) is to evaluate functional improvement using 6-Clicks scores, while secondary objectives include pain scores (Vas Score), opioid consumption, hospital stay duration, and patient satisfaction (Patient Satisfaction Index).
IPACK : The infiltration between the popliteal artery and capsule of the knee
Patients scheduled for spinal anesthesia with TDA.
Age ≥18.
American Society of Anesthesiologists (ASA) physical status score I-III.
Patients capable of providing informed consent.
Active infection at the injection site.
Coagulopathy or systemic sepsis.
Severe hypovolemia.
Patients who refuse regional anesthesia.