Pericapsular Nerve Group (PENG) Block Versus Supra-inguinal Fascia Iliaca Compartment Block for Pain Management After Total Hip Arthroplasty: a Randomized Controlled Trial

Yonsei University

Status: Completed

Conditions: Postoperative Pain; Total Hip Arthroplasty

Treatments: Procedure: Pericapsular nerve group block; Procedure: Supra-inguinal fascia iliaca compartment block

Study type: Interventional

Funder types: Other

Identifiers

NCT04426045

4-2020-0417

Details and patient eligibility

About

Adequate pain control after total hip arthroplasty is crucial for early ambulation and patient satisfaction. The supra-inguinal fascia iliaca compartment block has been described as a promising technique for primary total hip arthroplasty. However, one of the concerns with supra-inguinal fascia iliaca compartment block is still the potential for quadriceps weakness that might delay ambulation. The pericapsular nerve group (PENG) block has been recently introduced a new technique for blockade of the articular branches of the femoral, obturator and accessory obturator nerves. PENG block is possible to provide sufficient analgesia and preserve lower limb muscle strength. The investigators will compare ultrasound-guided supra-inguinal fascia iliaca compartment block with PENG block in patients undergoing total hip arthroplasty.

Enrollment: 58 patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 19 years old or older, with American Society of Anesthesiologists Physical Status 1-3
• scheduled for elective unilateral total hip arthroplasty

Exclusion criteria

• Allergy or intolerance to any of the drugs used in the study
• Hepatic or renal insufficiency
• Opioid dependency
• Coagulopathy
• Pre-existing neurologic or anatomic deficits in the lower extremities
• Severe psychiatric illness

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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58 participants in 2 patient groups

Pericapsular nerve group block

Experimental group

Description:

Participants receiving pericapsular nerve group block

Treatment:

Procedure: Pericapsular nerve group block

Supra-inguinal fascia iliaca compartment block

Active Comparator group

Description:

Participants receiving supra-inguinal fascia iliaca compartment block

Treatment:

Procedure: Supra-inguinal fascia iliaca compartment block