IPACK Block Versus Adductor Canal Block in High Tibeal Osteotomy

Exclusion Criteria

• •1. Known allergy to local anesthetics
• •2. Contraindication to local anesthetics injection e.g. infection at the site of injection
• •3. Contraindication to spinal anesthesia e.g. coagulopathy.
• •4. Patients with pre-existing motor or sensory deficits in lower extremities.
• •5. Insulin or noninsulin dependent diabetes mellitus.
• •6. systemic corticosteroid use within 30-days of surgery
• •7. difficulties in comprehending visual analog scale (VAS) pain scores
• •8. history of arrhythmia or seizures
• •9. severe renal insufficiency