PENG vs LFCN on Postoperative Recovery After Total Hip Arthroplasty .
Enhancing postoperative recovery in total hip arthroplasty: the role of pericapsular nerve group and lateral cutaneous nerve block under spinal anaesthesia.
Int Orthop . 2024 Aug;48(8):2017-2024.Sixty-six patients with degenerative hip conditions scheduled for total hip arthroplasty were randomized to receive either spinal anesthesia alone (n=32) or spinal anesthesia combined with PENG and LFCN blocks (SRAB; n=34). The primary outcome was the onset of postoperative pain. Secondary outcomes included the total amount of analgesics required in the first 36 hours, postoperative complications like hypotension and nausea, and early mobilization success. Outcomes were assessed within 36 hours postoperatively. Overall, the results revealed that patients receiving combined regional anesthesia experienced significantly delayed onset of pain and reduced analgesic use. The study concludes that adding PENG and LFCN blocks enhances postoperative analgesia and facilitates better recovery.
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