Key result
Adjunctive iliopsoas plane block linked to improved perioperative stability and recovery versus general anesthesia alone.
Why the study?
To evaluate the impact of Iliopsoas Plane Block as an adjunct to general anesthesia in elderly patients undergoing total hip arthroplasty, focusing on perioperative risks, postoperative recovery, and long-term outcomes.
Does ultrasound-guided Iliopsoas Plane Block added to general anesthesia improve postoperative recovery and immune function in elderly patients undergoing total hip arthroplasty?
Cohort (n=592)
Does ultrasound-guided Iliopsoas Plane Block added to general anesthesia improve postoperative recovery and immune function in elderly patients undergoing total hip arthroplasty?
In elderly patients undergoing total hip arthroplasty, adding an Iliopsoas Plane Block to general anesthesia improves perioperative stability, reduces stress responses, and accelerates early functional recovery.
Iliopsoas plane block was associated with better THA outcomes in elderly patients; hypothesis-generating and requires RCTs before practice change.
Purpose: To evaluate the impact of Iliopsoas Plane Block (IPB) as an adjunct to general anesthesia in elderly patients undergoing total hip arthroplasty (THA), focusing on perioperative risks, postoperative recovery, and long-term outcomes. Methods: A retrospective analysis of 592 elderly patients undergoing THA was conducted. Patients were divided into the observation group (IPB with general anesthesia, n = 383) and the control group (general anesthesia alone, n = 209) based on the anesthesia technique selected by the attending anesthesiologist. Perioperative hemodynamics, stress response markers, immune function, pain control, and rehabilitation were assessed. Follow-up was conducted for 6 months to monitor long-term recovery and functional outcomes. Results: The observation group exhibited significantly better perioperative stability, including reduced heart rate and mean arterial pressure fluctuations, compared to the control group. Postoperative stress response markers (cortisol, norepinephrine, adrenocorticotropic hormone) were significantly lower in the observation group, indicating better stress management. The observation group also showed superior immune function recovery, faster pain relief (lower Visual Analog Scale scores), and quicker postoperative mobilization. At 6 months post-surgery, no significant difference in pain scores was observed, but the observation group experienced faster recovery in functional mobility and a higher quality of life. Conclusion: IPB, when used as an adjunct to general anesthesia, significantly reduces perioperative risks in elderly THA patients and improves postoperative recovery, particularly in terms of early rehabilitation and effective pain management. Further studies should optimize blockade techniques to enhance the safety and efficacy of anesthesia management for THA, offering better long-term outcomes for patients.
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Wu et al. (2026) conducted a cohort in Total hip arthroplasty (n=592). Iliopsoas Plane Block (IPB) with general anesthesia vs. General anesthesia alone was evaluated on Perioperative hemodynamics, stress response markers, immune function, pain control, and rehabilitation. Iliopsoas Plane Block as an adjunct to general anesthesia significantly improved perioperative stability, reduced stress markers, and enhanced recovery compared to general anesthesia alone.
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