Utilization of the pericapsular nerve group block in preoperative rehabilitation of patients with femoral neck fractures -a case series

Zhuan Jin; Daisuke Sugiyama; Fumiya Higo; Takahiro Hirata; Osamu Kobayashi; Hiroshi Morimatsu; Kenichi Ueda

doi:10.4097/kja.24232

$Utilization of the pericapsular nerve group block in preoperative rehabilitation of patients with femoral neck fractures -a case series$

Journal article

Open access

Peer reviewed

Utilization of the pericapsular nerve group block in preoperative rehabilitation of patients with femoral neck fractures -a case series

Zhuan Jin, Daisuke Sugiyama, Fumiya Higo, Takahiro Hirata, Osamu Kobayashi, Hiroshi Morimatsu and Kenichi Ueda

Korean journal of anesthesiology, Vol.77(5), pp.565-569

10/2024

DOI: 10.4097/kja.24232

PMCID: PMC11467497

PMID: 38894684

Files and links (1)

url

https://doi.org/10.4097/kja.24232View

Published (Version of record) Open Access

Abstract

Elderly patients with femoral neck fractures, particularly those with severe comorbidities or living in regions with limited medical resources, may experience delays in surgical treatment. Although the benefits of preoperative rehabilitation (prehabilitation) in hip arthroplasty have been reported, pain management remains a challenge. The pericapsular nerve group (PENG) block, known for its exceptional analgesic effect and motor function preservation, may be a promising intervention during prehabilitation in these patients. We enrolled ten patients with Garden classification 3-4 femoral neck fractures scheduled for hip arthroplasty. After receiving a PENG block with 20 ml of 0.375% ropivacaine, all patients underwent initial prehabilitation sessions comprising 9 mobility levels, ranging from bed-sitting to walking. One patient was excluded due to experiencing high blood pressure during prehabilitation. Six of the nine remaining patients (66.7%) were successfully transferred from bed to wheelchair. The PENG block enhanced prehabilitation for patients with femoral neck fractures undergoing hip arthroplasty.

Aged

Aged, 80 and over

Anesthetics, Local - administration & dosage

Arthroplasty, Replacement, Hip - methods

Female

Femoral Neck Fractures - surgery

Humans

Male

Nerve Block - methods

Preoperative Care - methods

Ropivacaine - administration & dosage

Details

Title: Subtitle: Utilization of the pericapsular nerve group block in preoperative rehabilitation of patients with femoral neck fractures -a case series
Creators: Zhuan Jin - Okayama University
Daisuke Sugiyama - Kameda Medical Center
Fumiya Higo - Kameda Medical Center
Takahiro Hirata - Kameda Medical Center
Osamu Kobayashi - Kameda Medical Center
Hiroshi Morimatsu - Okayama University
Kenichi Ueda - University of Iowa
Resource Type: Journal article
Publication Details: Korean journal of anesthesiology, Vol.77(5), pp.565-569
DOI: 10.4097/kja.24232
PMID: 38894684
PMCID: PMC11467497
NLM abbreviation: Korean J Anesthesiol
ISSN: 2005-6419
eISSN: 2005-7563
Publisher: KOREAN SOC ANESTHESIOLOGISTS; SEOUL
Language: English
Date published: 10/2024
Academic Unit: Anesthesia
Record Identifier: 9984787458702771

Metrics

2 Record Views