Orthopaedic Surgery (Jul 2023)

Comparison between Ultrasound‐Guided Pericapsular Nerve Group Block and Local Infiltration Analgesia for Postoperative Analgesia after Total Hip Arthroplasty: A Prospective Randomized Controlled Trial

  • Shuwei Ye,
  • Liying Wang,
  • Qiuru Wang,
  • Qianhao Li,
  • Mohammed Alqwbani,
  • Pengde Kang

DOI
https://doi.org/10.1111/os.13777
Journal volume & issue
Vol. 15, no. 7
pp. 1839 – 1846

Abstract

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Objectives Pericapsular nerve group (PENG) blocking is a novel nerve block modality for analgesia after total hip arthroplasty (THA); however, its analgesic efficacy is unclear. We aimed to compare the analgesic effect of ultrasound‐guided PENG blocking and periarticular local infiltration analgesia after THA. Methods This study involved patients undergoing unilateral primary THA at our institution between October 2022 and December 2022. Based on a prospective double‐blind, randomized approach, patients were randomly divided into two groups: the PENG and infiltration groups. The former received ultrasound‐guided pericapsular nerve block before surgery while the latter received local anesthesia and local infiltration analgesia during surgery. The primary outcome was the amount of morphine used for rescue analgesia within 48 h after surgery and the visual analog scale (VAS) pain score at 3, 6, 12, 24, and 48 h after surgery. Secondary outcomes consisted of postoperative hip function on the first and second postoperative days, including hip extension angle and flexion, as well as distance traveled by the patient. Tertiary outcomes included length of hospital stay and postoperative adverse reactions. The data were analyzed using SPSS 26.0. Using the appropriate statistical methodology, continuous and categorical data were analyzed, and p 0.05). However, the exercise VAS score in the PENG group was significantly higher than that in the infiltration group within 12 hours after surgery (6.1 + 1.2 vs. 5.4 + 1.0, p = 0.008). There was no significant difference in hip function, length of hospital stay, or incidence of complications between the two groups. Conclusion The analgesic effect and functional recovery of ultrasound‐guided pericapsular nerve block for THA was not superior to that of periarticular local infiltration analgesia.

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