Pericapsular hip radiofrequency: future approaches to treat hip chronic pain

Buono, Romualdo Del; Padua, Eleonora; Porcellini, Giuseppe; Costa, Fabio; Tognú, Andrea; Terranova, Gaetano; Greco, Federico; Pérez, Mario Fajardo; Barbara, Enrico

doi:10.23736/s0375-9393.21.16081-x

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…6 Pericapsular radiofrequency is an alternative analgesic option for chronic hip pain. 7 We used a minimally invasive regional anesthesia technique, the posterior QLB. 8 This block was first described for acute postoperative pain control after abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Posterior Quadratus Lumborum Block, A Novel Approach to Treat Chronic Hip Pain: A Case Series

Fernández

Aguirre

López³

2023

A&A Practice

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Osteoarthritis frequently results in chronic pain and has a major impact on patients' quality of life. We present a case series of 20 patients with chronic hip pain who received a posterior quadratus lumborum block with the aim of improving their pain and, consequently, their quality of life. The results showed global improvement in pain and quality of life. These preliminary results support our conclusion. Posterior quadratus lumborum block is a safe and minimally invasive option for refractory chronic hip pain.

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Section: Discussionmentioning

confidence: 99%

Posterior Quadratus Lumborum Block, A Novel Approach to Treat Chronic Hip Pain: A Case Series

Fernández

Aguirre

López³

2023

A&A Practice

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“…The PENG block targets the articular branches of the obturator, accessory obturator, and femoral nerves, thus inhibiting sensory innervation to the anterior capsule while retaining motor innervation (6,7). It can be combined with a lateral femoral cutaneous (LFC) nerve block to improve its analgesic effect on the lateral thigh.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Pericapsular Nerve Group and Lateral Quadratus Lumborum Blocks for Analgesia after Primary Total Hip Arthroplasty: A Randomized Controlled Trial

Johnson,

Kelly,

Wolf

et al. 2024

Preprint

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IntroductionThe quadratus lumborum block (QLB) and the pericapsular nerve group (PENG) block both provide effective postoperative analgesia after hip surgery while minimizing impact on motor function. This study aimed to compare QLB and PENG in patients undergoing primary total hip arthroplasty.MethodsThis superiority trial randomized patients scheduled for elective total hip arthroplasty to receive a lateral QLB or PENG with lateral femoral cutaneous nerve blocks for postoperative analgesia. Perioperative analgesic protocols were standardized. The primary outcome was postoperative cumulative opioid consumption at 72 hours. Secondary outcome was postoperative pain scores. Additional outcomes of interest included time to first ambulation, length of stay, patient reported outcome measures, and opioid-related side effects.ResultsThis trial consented and randomized 106 subjects and 101 were included in analysis: PENG (n=50), QLB (n=51). Mean (95% CI) opioid consumption (IV MME) in the first 72 hours did not differ between PENG [109.6 (93.6, 125.6)] and QL [92.3 (76.6, 107.9)] groups (p=0.129) There were no significant differences between treatment arms in average pain score, time to ambulation, distance ambulated, rate of same day discharge, or hospital length of stay. There were also no differences in patient reported outcomes using HOOS-JR and PROMIS-10 scores.ConclusionPatients undergoing primary THA receiving preoperative PENG vs QLB had similar opioid consumption, pain scores, time to ambulation, and hospital length of stay. Both QL and PENG blocks are analgesic options in patients undergoing primary THA.Clinical Trials RegistrationNCT05710107;www.ClinicalTrial.govIRB Protocol ID: Pro00124880Key messagePericapsular nerve group (PENG) block may provide analgesia after hip arthroplasty and improve early functional recovery. This study evaluated postoperative opioid consumption in patients randomized to PENG or lateral quadratus lumborum block (QLB).Opioid consumption, pain scores, motor recovery, and functional outcome measures did not differ in patients randomized to PENG vs lateral QLB.PENG and lateral QLBs are analgesic options following total hip arthroplasty with similar rates of same day discharge.

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PENG and PONG radiofrequency for hip chronic pain: another step towards the future

et al. 2022

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Pericapsular hip radiofrequency: future approaches to treat hip chronic pain

Cited by 4 publications

References 5 publications

Posterior Quadratus Lumborum Block, A Novel Approach to Treat Chronic Hip Pain: A Case Series

Posterior Quadratus Lumborum Block, A Novel Approach to Treat Chronic Hip Pain: A Case Series

Comparison of Pericapsular Nerve Group and Lateral Quadratus Lumborum Blocks for Analgesia after Primary Total Hip Arthroplasty: A Randomized Controlled Trial

PENG and PONG radiofrequency for hip chronic pain: another step towards the future

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