The PENG block was superior to S-FICB for dynamic pain control at 24 hours (MD -1.23; 95% CI -1.82 to -0.65; P<0.01) and reduced quadriceps motor blockade incidence (45% vs 90%; P<0.001).
Meta-Analysis (n=359)
Yes
Does Pericapsular Nerve Group (PENG) block improve dynamic pain control and functional recovery compared to supra-inguinal fascia iliaca compartment block (S-FICB) in patients undergoing hip surgery?
PENG block provides superior dynamic pain control, earlier ambulation, and less motor blockade compared to S-FICB for hip surgery, making it a preferable option for Enhanced Recovery After Surgery protocols.
Mean Difference: -1.23 (95% CI -1.82–-0.65)
p-value: p=<0.01
This systematic review and meta-analysis evaluating 359 patients across five randomized controlled trials compared the supra-inguinal fascia iliaca compartment block (S-FICB) and pericapsular nerve group (PENG) block for hip surgery analgesia, revealing nuanced clinical distinctions. While both techniques demonstrated equivalent efficacy in static pain management (6–24 h postoperatively) and 24-h opioid consumption (P > 0.05), the PENG block emerged as superior for dynamic pain control, with significantly lower pain scores at 12 h (MD = −1.17, 95 % CI: −1.92 to −0.42), 24 h (MD = −1.23, −1.82 to −0.65), and 48 h (MD = −1.19, −1.71 to −0.66) post-surgery (all P < 0.01). Notably, the PENG group achieved earlier ambulation (19.6 vs. 26.5 h, P < 0.01) and exhibited markedly lower quadriceps motor blockade incidence (45 % vs. 90 %, P < 0.001), underscoring its motor-sparing advantage. These findings position the PENG block as a preferential option within Enhanced Recovery After Surgery (ERAS) protocols, particularly benefiting patients requiring early mobility, despite comparable static analgesia and postoperative nausea/vomiting rates between groups. The study highlights the clinical significance of selective sensory targeting in optimizing functional recovery while advocating for further high-quality research to standardize techniques and assess long-term outcomes.
Yao et al. (Fri,) conducted a meta-analysis in Hip surgery (n=359). Pericapsular nerve group (PENG) block vs. Supra-inguinal fascia iliaca compartment block (S-FICB) was evaluated on Dynamic pain control at 24 hours post-surgery (MD -1.23, 95% CI -1.82 to -0.65, p=<0.01). The PENG block was superior to S-FICB for dynamic pain control at 24 hours (MD -1.23; 95% CI -1.82 to -0.65; P<0.01) and reduced quadriceps motor blockade incidence (45% vs 90%; P<0.001).