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ACB and IPACK Block vs ACB Alone for Pain and Opioid Use After ACL Reconstruction with BTB Autograft
July 2025
ACB and IPACK Block vs ACB Alone for Pain and Opioid Use After ACL Reconstruction with BTB Autograft
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Postoperative Pain and Opioid Usage With Combined Adductor Canal and IPACK Block Versus Isolated Adductor Canal Block After Anterior Cruciate Ligament Reconstruction With a Bone-Patellar Tendon-Bone Autograft: A Single-Center Randomized Controlled Trial.
Am J Sports Med . 2025 May;53(6):1359-1367.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
Ninety-six patients undergoing anterior cruciate ligament reconstruction (ACLR) with a bone–patellar tendon–bone (BTB) autograft were randomized to receive either an adductor canal block alone (n=47) or a combination of adductor canal and IPACK block (n=49). The primary outcome was opioid consumption at 24 hours postoperatively. Secondary outcomes included opioid use at days 2, 3, and 7; visual a...
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