Pericapsular Nerve Group Block Leads to Small but Consistent Reductions in Pain Between 18 and 24 Hours Postoperatively in Hip Arthroscopy for Femoroacetabular Impingement Surgery: A Prospective, Randomized Controlled Clinical Trial

Comparison of the Effect of Pericapsular Nerve Group Block Combined with Lateral Femoral Cutaneous Nerve Block and Fascia Iliaca Compartment Block in Patients Undergoing Hip Arthroscopy Under General Anesthesia: A Randomized, Double-Blind Trial

“…Our findings were validated to some extent by Eppel et al who showed that PENG block had a better analgesic effect in AHS patients compared to FICB. 25 Similar to the results obtained by Noaman et al using 0.5% bupivacaine 20 mL for PENG block versus FICB, although the nerve block anesthetic used was different, the results showed that PENG block had a better ability to preserve motor function and analgesia in AHS patients. 26 However, Liang et al's results of nerve block using 0.33% ropivacaine 30 mL in hip arthroplasty patients showed that compared to FICB, although PENG block combined with LFCN block shortened the time to a first postoperative activity, muscle strength levels were higher only at 6 h postoperatively and pain scores were higher only at 48 h postoperatively.…”

“…33 Studies have shown a change in the MCID threshold defined as 1.1 for VAS pain scores in AHS patients at 24 hours postoperatively. 25 In our study, although the difference in VAS pain scores between the two groups did not reach the MCID, the amount of postoperative analgesic medication used and the number of analgesic pump presses were significantly less in group P than in group F. Therefore, the PENG block paired with the LFCN block brought benefits to postoperative analgesic management in AHS patients. The quality of sleep and QOR-15 scores on the second postoperative night in group P were significantly higher than those in group F, and the variance in QOR-15 scores among the two groups reached the MCID (MCID>8), 34 which was clinically significant.…”