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SII Levels Following iPACK Block With Adductor Canal Block in Knee Arthroplasty

RECRUITINGN/ASponsored by Poznan University of Medical Sciences
Actively Recruiting
PhaseN/A
SponsorPoznan University of Medical Sciences
Started2026-03-01
Est. completion2026-05-31
Eligibility
Age65 Years – 100 Years
Healthy vol.Accepted

Summary

This randomized controlled trial evaluates the effect of ultrasound-guided iPACK block with Adductor Canal Block (ACB) on the Systemic Immune-Inflammation Index (SII) in elderly patients undergoing total hip arthroplasty under spinal anesthesia. SII, calculated as platelet × neutrophil / lymphocyte count, is used as a composite marker of perioperative inflammatory and immune response. The study investigates whether iPACK block with ACB attenuates the systemic inflammatory reaction to surgical trauma compared to sham block.

Eligibility

Age: 65 Years – 100 YearsHealthy volunteers accepted
Inclusion Criteria:

* Patients with ASA classification I-III
* Aged 65-100 years
* Who will be scheduled for hip arthroplasty under spinal anesthesia

Exclusion Criteria:

* Patients who have a history of bleeding diathesis
* Take anticoagulant therapy
* History of chronic pain before surgery
* Multiple trauma
* patients unable to assess their pain (dementia)
* patients operated under general anesthesia
* patients having an infection in the region of the procedure
* the patient who does not accept the procedure

Conditions2

ArthritisKnee Osteoarthritis

Interventions2

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Trial data from ClinicalTrials.gov. Trial status and eligibility can change — verify directly with the study contact or on ClinicalTrials.gov.

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