Intraoperative Local Analgesic PENG Infiltration in Total Hip Arthroplasty

Abstract

Objective Describe a novelty intraoperative application of the PENG analgesic infiltration in total hip arthroplasty and describe results in a case series.

Method Retrospective case series. Clinical charts were revised from patients who underwent an elective total hip arthroplasty (THA) and an intraoperative PENG analgesic infiltration performed by the surgeon between September and December 2020.

Results 74 patients were included in this study, an average of 60.1 years old. 63 were simple primary THA and 11 were complex. Median VAS scale for postoperative pain was 0 in the acute recovery unit, 2 in the first 24 hours, and 1 in the next 24 hours. 95.9% were able to walk in the first 24 hours and 98% were discharged under 48 hours from surgery

Conclusion In our case series where the novel way of implementing PENG analgesic infiltration in a THA was applied, we observed a maximum median VAS of 2, the ability to walk in the first 24 hours in 95% of patients and 98% of patients were discharged before 48 hours, with no cases of readmission due to pain.

Keywords

PENG - total hip - analgesia PENG infiltration

Note

Work carried out in the Hospital del Trabajador, Santiago, Chile.

The group of authors confirms that this work has not been presented or published in any congress or scientific journal.

All authors confirm that they have read and approved the manuscript, taking responsibility for its content.

This study was approved by the ethics committee of the Hospital del Trabajador.

Declarations of Interest

None.

Publication History

Received: 17 May 2021

Accepted: 21 June 2023

Article published online:
30 October 2023

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