Pericapsular Nerve Group (PENG) Block Versus Periarticular Injection for Pain Management After Total Hip Arthroplasty: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Yonsei University
- Enrollment
- 66
- Locations
- 2
- Primary Endpoint
- Numeric rating scale pain score
Study Overview
Brief Summary
Adequate pain control after total hip arthroplasty is crucial for early ambulation and patient satisfaction. 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 provides sufficient analgesia but it is still the potential for quadriceps weakness that might delay ambulation. Periarticular injection has attached attention as an effective analgesic modality with a low prevalence of adverse effects. The investigators will compare ultrasound-guided PENG block with periarticular injection in patients undergoing total hip arthroplasty.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 19 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Aged 19 years old or older
- •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
Arms & Interventions
Periarticular block
Participants receiving periarticular block
Intervention: Periarticular block (Procedure)
Pericapsular nerve group block
Participants receiving pericapsular nerve group block
Intervention: Pericapsular nerve group block (Procedure)
Outcomes
Primary Outcomes
Numeric rating scale pain score
Time Frame: at 24 hours postoperatively
Pain intensity at rest evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain) at 24 hours postoperatively
Secondary Outcomes
- Numeric rating scale pain score(at 6 hours postoperatively and 48h postoperatively)
- Quadriceps muscle strength(at 24 hours postoperatively)