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  • Femoral triangle block plus iPACK block versus local infiltration analgesia for anterior cruciate ligament reconstruction: an infographic

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Femoral triangle block plus iPACK block versus local infiltration analgesia for anterior cruciate ligament reconstruction: an infographic
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  1. Eric S Schwenk1 and
  2. Rajnish K Gupta2
  1. 1 Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  2. 2 Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
  1. Correspondence to Dr Eric S Schwenk, Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA 19107, USA; prepdrum{at}gmail.com

https://doi.org/10.1136/rapm-2021-102942

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    Abstract

    Anterior cruciate ligament reconstruction can be painful, and both the femoral triangle block and local infiltration analgesia have been shown to provide effective analgesia after this surgery. A relatively new block, the iPACK (infiltration between the popliteal artery and the capsule of the knee), has been reported to provide posterior knee analgesia. In this triple-blinded, randomized controlled trial of 60 patients, the combination of femoral triangle block and iPACK block reduced opioid consumption for 24 hours postoperatively compared with local infiltration analgesia.1 However, other pain and functional outcomes were the same in both groups.

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    Acknowledgments

    We would like to acknowledge Jim Snively, artist, of Pittsburgh, Pennsylvania, for creation of this infographic.

    Reference

    1. ↵
      2. Martin R ,
      3. Kirkham KR ,
      4. Ngo THN , et al
      . Combination of femoral triangle block and infiltration between the popliteal artery and the capsule of the posterior knee (iPACK) versus local infiltration analgesia for analgesia after anterior cruciate ligament reconstruction: a randomized controlled triple-blinded trial. Reg Anesth Pain Med 2021;46:763–8.doi:10.1136/rapm-2021-102631 pmid:http://www.ncbi.nlm.nih.gov/pubmed/34039734
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    Footnotes

    • Twitter @ESchwenkMD, @dr_rajgupta

    • Collaborators Jim Snively.

    • Contributors Both authors edited the infographic and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial, or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.

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