Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Department of Orthopaedics, Christian Medical College, Tamil Nadu, India
Research Article
An Anatomical and Clinical Proof of Concept of a Novel Gastrosoleus Interfascial Plane Block and Comparison with the iPACK Block for Posterior Knee Pain Following Knee Replacement Surgeries: A Cadaveric Demonstration and Pilot Study
Author(s): Riya Sarah Abraham*, Rahul Pillai, Noble E Cherian, Anil Thomas Oommen and Aby S Charles
Introduction: Analgesia following knee replacements has been evolving, with peripheral nerve blocks gaining precedence over central neuraxial techniques. Good surgical outcomes rely on early rehabilitation, necessitating the need for good pain relief without motor blockade. Current evidence supports regional analgesia with an adductor canal catheter, in conjunction with an iPACK block (infiltration between popliteal artery and the capsule of knee joint).
Methodology: We describe a fascial plane block between the medial head of gastrocnemius and the soleus muscles in the leg. Anatomic continuity of this plane with the space surrounding the knee joint capsule (in keeping with existing literature regarding the deep fascia of the leg) was established following a cadaveric demonstration, wherein dye injection was done under ultrasound guidance ap.. View More»
DOI:
10.35248/2155-6148.23.14.1122