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

Not Applicable

Completed

• Conditions: Postoperative Pain; Total Hip Arthroplasty
• Interventions: Procedure: Pericapsular nerve group block; Procedure: Supra-inguinal fascia iliaca compartment block

• Registration Number: NCT04426045
• Lead Sponsor: Yonsei University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-06-08
• Study First Submitted QC: 2020-06-09
• Study First Posted: 2020-06-11
• Study Start: 2020-07-21
• Primary Completion: 2021-06-06
• Study Completion: 2021-06-10
• Status Verified: 2021-07
• Last Update Submitted: 2021-07-19
• Last Update Posted: 2021-07-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 58

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Pericapsular nerve group block	Pericapsular nerve group block	Participants receiving pericapsular nerve group block
Supra-inguinal fascia iliaca compartment block	Supra-inguinal fascia iliaca compartment block	Participants receiving supra-inguinal fascia iliaca compartment block

Primary Outcome Measures

Name	Time	Method
Numeric rating scale pain score	48 hours after the surgery	Pain intensity at rest and during 45-degree passive flexion of the hip with the ipsilateral knee flexed naturally will be evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain)

Secondary Outcome Measures

Name	Time	Method
Quadriceps muscle strength	at 36 hours postoperatively	Quadriceps muscle strength will be measured by the dynamometer

Trial Locations

Locations (1)

Anesthesia and Pain Research Institute, Yonsei University College of Medicine; 🇰🇷 Seoul, Korea, Republic of