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

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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

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

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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