Tomasz Reysner, Grzegorz Kowalski, Małgorzata Reysner, Aleksander Mularski, Przemysław Daroszewski, Katarzyna Wieczorowska-Tobis
{"title":"髋关节手术后囊包神经阻滞后的功能恢复和疼痛控制：随机对照试验的系统回顾和荟萃分析","authors":"Tomasz Reysner, Grzegorz Kowalski, Małgorzata Reysner, Aleksander Mularski, Przemysław Daroszewski, Katarzyna Wieczorowska-Tobis","doi":"10.1007/s00402-025-05825-9","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>The Pericapsular Nerve Group (PENG) block is a regional anaesthesia technique used in hip surgery. However, its effectiveness and analgesic efficiency, especially when compared to other regional anaesthesia techniques, have yet to be fully established. This meta-analysis aimed to determine the functional recovery and pain management following PENG block in Hip surgeries.</p><h3>Methods</h3><p>Following PRISMA guidelines, we conducted a meta-analysis of prospective randomised clinical trials that compared the effects of PENG block versus the control group or different regional anaesthesia techniques in hip surgeries. The study was registered on the International Register of Systematic Reviews (PROSPERO) and is available online (www.crd.york.uk/prospero, CRD42024529125).</p><h3>Results</h3><p>Nineteen studies encompassing 1682 participants were included for the synthesis after critical evaluation. Ultrasound-guided PENG block improved functional recovery when compared to no block anaesthesia (RR 0.48, 95% Cl 0.24, 0.96, p = 0.04) and different regional anaesthesia techniques (RR 0.45, 95% Cl 0.26, 0.77, p = 0.004).</p><p>The PENG block showed a reduction of postoperative opioid consumption 24 h after surgery when compared to no block anaesthesia (SMD − 0.92, 95% Cl − 1.65, − 0.19; p = 0.01) and when compared to Fascia Iliaca Compartment Block (FICB) (SMD − 0.96, 95% Cl − 1.52, − 0.39, p = 0.0009).</p><h3>Conclusion</h3><p>The PENG block improved functional recovery Compared to no-block analgesia and different regional anaesthesia techniques. Also, the PENG block improved analgesic efficacy in hip surgeries compared to no-block anaesthesia and to FICB. However, due to the high heterogeneity of included studies, more high-quality, methodological, and strictly defined RCTs are urgently needed to evaluate the advantages and disadvantages of PENG block for Hip surgeries.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Functional recovery and pain control following Pericapsular Nerve Group (PENG) block following hip surgeries: a systematic review and meta-analysis of randomised controlled trials\",\"authors\":\"Tomasz Reysner, Grzegorz Kowalski, Małgorzata Reysner, Aleksander Mularski, Przemysław Daroszewski, Katarzyna Wieczorowska-Tobis\",\"doi\":\"10.1007/s00402-025-05825-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>The Pericapsular Nerve Group (PENG) block is a regional anaesthesia technique used in hip surgery. However, its effectiveness and analgesic efficiency, especially when compared to other regional anaesthesia techniques, have yet to be fully established. This meta-analysis aimed to determine the functional recovery and pain management following PENG block in Hip surgeries.</p><h3>Methods</h3><p>Following PRISMA guidelines, we conducted a meta-analysis of prospective randomised clinical trials that compared the effects of PENG block versus the control group or different regional anaesthesia techniques in hip surgeries. The study was registered on the International Register of Systematic Reviews (PROSPERO) and is available online (www.crd.york.uk/prospero, CRD42024529125).</p><h3>Results</h3><p>Nineteen studies encompassing 1682 participants were included for the synthesis after critical evaluation. Ultrasound-guided PENG block improved functional recovery when compared to no block anaesthesia (RR 0.48, 95% Cl 0.24, 0.96, p = 0.04) and different regional anaesthesia techniques (RR 0.45, 95% Cl 0.26, 0.77, p = 0.004).</p><p>The PENG block showed a reduction of postoperative opioid consumption 24 h after surgery when compared to no block anaesthesia (SMD − 0.92, 95% Cl − 1.65, − 0.19; p = 0.01) and when compared to Fascia Iliaca Compartment Block (FICB) (SMD − 0.96, 95% Cl − 1.52, − 0.39, p = 0.0009).</p><h3>Conclusion</h3><p>The PENG block improved functional recovery Compared to no-block analgesia and different regional anaesthesia techniques. Also, the PENG block improved analgesic efficacy in hip surgeries compared to no-block anaesthesia and to FICB. However, due to the high heterogeneity of included studies, more high-quality, methodological, and strictly defined RCTs are urgently needed to evaluate the advantages and disadvantages of PENG block for Hip surgeries.</p></div>\",\"PeriodicalId\":8326,\"journal\":{\"name\":\"Archives of Orthopaedic and Trauma Surgery\",\"volume\":\"145 1\",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-03-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Orthopaedic and Trauma Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s00402-025-05825-9\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Orthopaedic and Trauma Surgery","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00402-025-05825-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Functional recovery and pain control following Pericapsular Nerve Group (PENG) block following hip surgeries: a systematic review and meta-analysis of randomised controlled trials
Purpose
The Pericapsular Nerve Group (PENG) block is a regional anaesthesia technique used in hip surgery. However, its effectiveness and analgesic efficiency, especially when compared to other regional anaesthesia techniques, have yet to be fully established. This meta-analysis aimed to determine the functional recovery and pain management following PENG block in Hip surgeries.
Methods
Following PRISMA guidelines, we conducted a meta-analysis of prospective randomised clinical trials that compared the effects of PENG block versus the control group or different regional anaesthesia techniques in hip surgeries. The study was registered on the International Register of Systematic Reviews (PROSPERO) and is available online (www.crd.york.uk/prospero, CRD42024529125).
Results
Nineteen studies encompassing 1682 participants were included for the synthesis after critical evaluation. Ultrasound-guided PENG block improved functional recovery when compared to no block anaesthesia (RR 0.48, 95% Cl 0.24, 0.96, p = 0.04) and different regional anaesthesia techniques (RR 0.45, 95% Cl 0.26, 0.77, p = 0.004).
The PENG block showed a reduction of postoperative opioid consumption 24 h after surgery when compared to no block anaesthesia (SMD − 0.92, 95% Cl − 1.65, − 0.19; p = 0.01) and when compared to Fascia Iliaca Compartment Block (FICB) (SMD − 0.96, 95% Cl − 1.52, − 0.39, p = 0.0009).
Conclusion
The PENG block improved functional recovery Compared to no-block analgesia and different regional anaesthesia techniques. Also, the PENG block improved analgesic efficacy in hip surgeries compared to no-block anaesthesia and to FICB. However, due to the high heterogeneity of included studies, more high-quality, methodological, and strictly defined RCTs are urgently needed to evaluate the advantages and disadvantages of PENG block for Hip surgeries.
期刊介绍：
"Archives of Orthopaedic and Trauma Surgery" is a rich source of instruction and information for physicians in clinical practice and research in the extensive field of orthopaedics and traumatology. The journal publishes papers that deal with diseases and injuries of the musculoskeletal system from all fields and aspects of medicine. The journal is particularly interested in papers that satisfy the information needs of orthopaedic clinicians and practitioners. The journal places special emphasis on clinical relevance.
"Archives of Orthopaedic and Trauma Surgery" is the official journal of the German Speaking Arthroscopy Association (AGA).
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