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