Evidence map›Paper›PMID 40841624›Full record

Observational studyBMC surgery2025

Effects of pericapsular nerve group block and fascia Iliaca compartment block on postoperative analgesia and early rehabilitation in elderly patients undergoing total hip arthroplasty.

Fenglei Li, Tao Liao, Jianhua Huang, Ronghua Xu

Abstract readObservational Study
In one paragraph

Observational study in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fenglei LiDepartment of Orthopaedics, Xuzhou Central Hospital, 199 Jiefang South Road, Xuzhou, 221009, Jiangsu Province, China. 13615107879@163.com.
Tao LiaoDepartment of Orthopaedics, Lasa people's hospital, Lasa, 850000, Xizang Province, China.
Jianhua HuangDepartment of Orthopaedics, Xuzhou Central Hospital, 199 Jiefang South Road, Xuzhou, 221009, Jiangsu Province, China.
Ronghua XuDepartment of Orthopaedics, Xuzhou Central Hospital, 199 Jiefang South Road, Xuzhou, 221009, Jiangsu Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal hip arthroplasty (THA) is a common procedure in elderly patients that requires effective postoperative analgesia to enhance recovery and minimize complications. This study compares the effects of pericapsular nerve group block (PENG) and fascia iliaca compartment Block (FICB) on postoperative analgesia and early rehabilitation in elderly patients undergoing THA.

methodsThis retrospective observational study was conducted from January 2021 to December 2023 and included 216 elderly patients scheduled for THA. Patients were divided into two groups: PENG (n = 108) and FICB (n = 108). The efficacy and safety of the nerve blocks were assessed by procedure and onset times, intraoperative anesthetic use, postoperative pain (VAS scores), analgesic consumption, motor function recovery (Modified Bromage Scores), and adverse reactions. Statistical analysis was performed using SPSS software.

resultsThe PENG group required significantly lower doses of propofol (327.3 ± 90.5 mg vs. 353.4 ± 85.7 mg, p = 0.03) and remifentanil (1.1 ± 0.4 mg vs. 1.4 ± 0.5 mg, p < 0.001) than the FICB group. Postoperative VAS pain scores were lower in the PENG group at 8 h during activity (1.1 vs. 2.1, P < 0.05). The PENG group also showed fewer effective PCA presses (3.5 ± 1.4 vs. 4.3 ± 1.5, p < 0.001) and lower sufentanil consumption (62.3 ± 13.3 µg vs. 72.1 ± 13.6 µg, p < 0.001). The PENG group had a significantly lower incidence of quadriceps weakness (7% vs. 24%, p < 0.001) and faster recovery of motor function at all time points.

conclusionsBoth PENG and FICB provided effective perioperative analgesia in elderly patients undergoing THA. However, PENG may offer advantages in reducing postoperative pain during activity and in preserving lower limb motor function, potentially facilitating earlier rehabilitation.

Indexed as

AnalgesiaArthroplasty, Replacement, HipNerve BlockPostoperative PainAgedAged, 80 and overFasciaFemaleHumansMaleRetrospective StudiesEarly rehabilitationFascia iliaca compartment blockPericapsular nerve group blockPostoperative analgesiaTotal hip arthroplasty

Identifiers

PMID40841624
PMCPMC12369102

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.