Analgesic Benefits of Motor-sparing Fascial Plane Blocks in Comparison to Periarticular Local Infiltration Analgesia for Total Hip Arthroplasty: A Network Meta-analysis
Authors' conclusion
Periarticular local infiltration analgesia alone provides the most consistent improvements in postoperative rest pain, analgesic consumption, and functional recovery after THA.
Study context
- Population
- Adults undergoing elective total hip arthroplasty (THA)
- Participants
- 3,579 adults · 44 trials
- Comparison
- Motor-sparing fascial plane blocks (QL, ESP, PENG) vs periarticular local infiltration analgesia
- Outcome
- AUC rest pain scores
- Follow-up
- 0 to 24 h
Methodological detailsfrequentist approach
- Frequentist approach
Pooled result
As reported in the abstract
AUC rest pain 0 to 24 h
Periarticular local infiltration analgesia
89%
P score
- Periarticular local infiltration analgesia the most effective intervention
- 89%
Further pooled results
- Postoperative analgesic consumption — Periarticular local infiltration analgesia
- P score 42%
- Postoperative analgesic consumption — QL the most effective intervention
- 88%
- Postoperative analgesic consumption: QL P score 88%
- Postoperative analgesic consumption: PENG P score 74%
- Postoperative analgesic consumption: ESP P score 38%
Original publication
Analgesic Benefits of Motor-sparing Fascial Plane Blocks in Comparison to Periarticular Local Infiltration Analgesia for Total Hip Arthroplasty: A Network Meta-analysis. Anesthesiology. Published 9 June 2025. doi:10.
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