PENG for chronic pain: the clinical effectiveness of pericapsular nerve group block in chronic hip pain.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-07-01 Epub Date: 2024-02-21 DOI:10.1177/11207000241227542
Mustafa Karaoğlan, Bilge Küçükçay Karaoğlan
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引用次数: 0

Abstract

Objectives: To evaluate the efficiency and tolerability of pericapsular nerve group block (PENG) for the treatment of chronic hip pain.

Methods: This is a retrospective, single-centre, 4-group study conducted over a 3-month period to find out the most typical cause of chronic hip pain. A total of 112 patients with symptomatic hip osteoarthritis (OA), Stage 2-3, greater trochanteric pain (GTPS) and chronic pain after total hip arthroplasty (cTHA), who had an ultrasound-guided PENG block, were selected. To assess the effectiveness of the treatment, the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) and visual analogue scale (VAS) scores of the patients prior to treatment were compared with their scores after the 1st week, 1st month, and 3rd month of treatment. The study also aimed to analyse the patients' initial feelings of alleviation following the block (1st VAS/2) and problems experienced both during and after the block.

Results: The parameters studied included pain, stiffness, and results of physical activity in the 1st week, 1st month, and 3rd month following PENG block application. At the beginning of the 1st week, of the 112 patients who were administered a PENG block for hip pain, we reported a 62% improvement in pain, a 52% reduction in stiffness, and a 53% increase in physical activity. Even though these results slightly declined in the 1st and 3rd months, the rates were still higher than 45%.

Conclusions: Overall, the PENG block was well-tolerated by the patients in our study. No treatment-related infections or any other serious complications were observed.

PENG治疗慢性疼痛:肩周神经群阻滞治疗慢性髋关节疼痛的临床疗效。
目的评估肩周神经群阻滞(PENG)治疗慢性髋关节疼痛的有效性和耐受性:这是一项为期 3 个月的回顾性、单中心、4 组研究,旨在找出慢性髋关节疼痛的最典型原因。共选择了112名有症状的髋关节骨关节炎(OA)2-3期、大转子疼痛(GTPS)和全髋关节置换术(cTHA)后慢性疼痛患者,他们都接受了超声引导下的PENG阻滞治疗。为了评估治疗效果,研究人员将患者治疗前的西安大略和麦克马斯特大学骨关节炎指数(WOMAC)和视觉模拟量表(VAS)评分与治疗第一周、第一个月和第三个月后的评分进行了比较。研究还旨在分析患者在阻滞治疗后的初步缓解感受(第1次VAS/2)以及在阻滞治疗期间和之后遇到的问题:研究参数包括使用彭氏阻滞疗法后第 1 周、第 1 个月和第 3 个月的疼痛、僵硬和体力活动效果。在第一周开始时,112 名因髋部疼痛而接受 PENG 阻滞治疗的患者中,我们发现疼痛改善了 62%,僵硬减少了 52%,体力活动增加了 53%。尽管这些结果在第1个月和第3个月略有下降,但比率仍高于45%:总体而言,本研究中的患者对 PENG 阻滞的耐受性良好。没有观察到与治疗相关的感染或任何其他严重并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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