Regional anesthesia

Comparison between supra-inguinal fascia iliaca and pericapsular nerve group blocks on postoperative pain and functional recovery after total hip arthroplasty: A noninferiority randomised clinical trial

Eur J AnaesthesiolPublished Randomised controlled trial

Primary result · Pain scoreResult — go to the resultDifference between medians 0 95% CI −0.93 to 0.93

Authors' conclusion

Following a total hip arthroplasty via the posterolateral approach, a PENG block is noninferior to SFIB regarding postoperative pain control 6 h after surgery, and functional recovery.

Study context

Population
Patients scheduled for total hip arthroplasty (THA) via the posterolateral approach under spinal anaesthesia, University Hospital of Liege, October 2021 to July 2022102 completed
Participants
102 patients
Comparison
Pericapsular nerve group (PENG) block vs SFIB
Primary endpoint
Pain on a 0 to 10 NRS (noninferiority margin 1 NRS point)
Follow-up
6 h after surgery
Methodological detailsnoninferiority, monocentric
  • Noninferiority
  • Monocentric

Primary result

Pain score

Difference between medians

0

95% CI −0.93 to 0.93

PENG vs SFIB
difference between medians 0 (95% CI −0.93 to 0.93)

As reported in the abstract

Further findings

Rest and dynamic pain trajectories · first 48 postoperative hours

No significant effect of group, rest
P = 0.800
No significant effect of group, dynamic
P = 0.708
No significant group × time interaction, rest
P = 0.803
No significant group × time interaction, dynamic
P = 0.187

Motor and functional recovery

No significant difference, timed-up-and-go
P = 0.197
No significant difference, 2 min walking test
P = 0.364
No significant difference, 6 min walking test
P = 0.347
No significant difference, QoR-15
P = 0.417

Original publication

Comparison between supra-inguinal fascia iliaca and pericapsular nerve group blocks on postoperative pain and functional recovery after total hip arthroplasty: A noninferiority randomised clinical trial. Eur J Anaesthesiol. Published 30 June 2023. doi:10.1097/eja.0000000000001875

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