- Podcast
- 10/07/2026
- UK
Pain Control Following Total Hip Arthroplasty: A Prospective Randomized Controlled Trial Comparing Spinal Anaesthesia Without Adjuncts Versus Fascia Iliaca Block Versus Pericapsular Nerve Group Block Versus Local Anaesthetic Infiltration
Description
In this episode of AI Talks with Bone & Joint, hosts Brian and Lisa discuss a 2026 randomized controlled trial by JP Park and colleagues examining pain control after total hip arthroplasty. The study compared spinal anesthesia alone with three adjuncts: fascia iliaca block (FIB), pericapsular nerve group (PENG) block, and local anaesthetic infiltration (LAI). In this single-centre, assessor- and participant-blinded trial of 240 patients, pain was assessed using the visual analog scale, with the primary endpoint at four hours after surgery. LAI produced significantly lower early postoperative pain than spinal anesthesia alone, while FIB and PENG did not show meaningful early pain reduction. Both LAI and FIB reduced opioid consumption at 24 and 48 hours, but LAI showed the strongest overall effect, with lower morphine-equivalent use and higher patient satisfaction at four hours and on postoperative day two. PENG block performed similarly to spinal anesthesia alone, suggesting limited benefit in this setting. The hosts conclude that LAI appears to be the most effective option for early postoperative pain control after total hip arthroplasty, offering better pain relief, less opioid use, and improved patient satisfaction.
Part of: Surgical Techniques and Training Collection
"Pain Control Following Total Hip Arthroplasty: A Prospective Randomized Controlled Trial Comparing Spinal Anaesthesia Without Adjuncts Versus Fascia Iliaca Block Versus Pericapsular Nerve Group Block Versus Local Anaesthetic Infiltration" is included in the following Surgical Techniques and Training playlist: