Comparison of PENG Block and Fascia Iliaca Compartment Block in the Postoperative Pain Control of Hip Capsular Fracture

NCT05377541 | Unknown

• 1 other identifier: 01-22-270-037
• Study Type: observational
• Target: 88
• Locations: 1 country
• Sites: 1

Brief Summary

A prospective cohort study comparing PENG block versus iliac fascia block with the aim of evaluating its effectiveness in the peri-surgical analgesia of intracapsular femoral fracture.

Conditions

Hip Fractures

Keywords

subcapital; hip fracture; PENG; Fascia iliaca compartment block; Postoperative pain

Outcome Measures

Primary Outcomes (3)

• Post-surgical pain after the disappearance of the motor block

  Pain will be assessed through the Verbal Numerical Scale (VNS). The VNS is a numeric scale with a minimum value of 0 and a maximum of 10 where 0 means no pain and 10 maximum pain.

  Approximately from 1 to 2 hours after de surgery, when the effect of the spinal anesthesia disappears.

• Pain 24 hours after surgery

  Pain will be assessed through the Verbal Numerical Scale (VNS). The VNS is a numeric scale with a minimum value of 0 and a maximum of 10 where 0 means no pain and 10 maximum pain.

  24 hours after surgery

• Need for rescue analgesia

  24 hours after surgery

Study Arms (2)

PENG block

To perform the PENG block, the patient will be placed in the supine position and with the convex transducer in a transverse plane over the anteroinferior iliac spine, the probe will be aligned with the iliopectineal eminence of the pubic ramus rotating about 45º medially.

Procedure: Surgical treatment of femur fracture

Fascia iliaca compartment block

To perform the iliac fascia block, the patient is placed in the supine position and with the linear transducer placed at the junction of the middle third with the lateral third of the inguinal ligament, the needle is inserted through the fascia lata and the iliac fascia.

Procedure: Surgical treatment of femur fracture

Interventions

Surgical treatment of femur fracture PROCEDURE

Definitive surgical treatment of femur fracture.

Fascia iliaca compartment block; PENG block

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Population admitted to the hospital and scheduled for definitive surgical treatment of femur fracture.

You may qualify if:

• Patients with subcapital, basicervical or transcervical femoral fracture in whom definitive surgical treatment is decided.
• Patients who are candidates for nerve block plus intradural anesthesia.
• Patients who agree to participate in the study

You may not qualify if:

• Patients with dementia or cognitive impairment (EVN not evaluable)
• Polytraumatized patient
• Patient's refusal to participate in the study
• Patient's refusal to undergo intradural anesthesia or the blockade
• Patient with sensory or motor deficits prior to surgery.
• Patient with anticoagulation or antiplatelet therapy at the time of surgery.
• Hemodynamically unstable patient or patient who becomes unstable during surgery.
• Patient allergic to the local anesthetic.
• Patient with chronic pain in treatment
• Patient with capital femur fracture

Sponsors & Collaborators

• Consorci Sanitari de Terrassa: lead

Study Sites (1)

Consorci Sanitari de Terrassa

Terrassa, Barcelona, 8227, Spain

RECRUITING

Related Publications (6)

• Allard C, Pardo E, de la Jonquiere C, Wyniecki A, Soulier A, Faddoul A, Tsai ES, Bonnet F, Verdonk F. Comparison between femoral block and PENG block in femoral neck fractures: A cohort study. PLoS One. 2021 Jun 4;16(6):e0252716. doi: 10.1371/journal.pone.0252716. eCollection 2021.

  PMID: 34086782 BACKGROUND

• Jadon A, Mohsin K, Sahoo RK, Chakraborty S, Sinha N, Bakshi A. Comparison of supra-inguinal fascia iliaca versus pericapsular nerve block for ease of positioning during spinal anaesthesia: A randomised double-blinded trial. Indian J Anaesth. 2021 Aug;65(8):572-578. doi: 10.4103/ija.ija_417_21. Epub 2021 Aug 25.

  PMID: 34584279 BACKGROUND

• Acharya U, Lamsal R. Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures. Case Rep Anesthesiol. 2020 Mar 12;2020:1830136. doi: 10.1155/2020/1830136. eCollection 2020.

  PMID: 32231802 BACKGROUND

• Ueshima H, Otake H. RETRACTED: Clinical experiences of pericapsular nerve group (PENG) block for hip surgery. J Clin Anesth. 2018 Dec;51:60-61. doi: 10.1016/j.jclinane.2018.08.003. Epub 2018 Aug 8. No abstract available.

  PMID: 30096522 BACKGROUND

• Sahoo RK, Jadon A, Sharma SK, Peng PW. Peri-capsular nerve group block provides excellent analgesia in hip fractures and positioning for spinal anaesthesia: A prospective cohort study. Indian J Anaesth. 2020 Oct;64(10):898-900. doi: 10.4103/ija.IJA_450_20. Epub 2020 Oct 1. No abstract available.

  PMID: 33437080 BACKGROUND

• Esteller PG, Ramirez CE, Juarez-Pomes M, Martin Sanchez JC, Martinez Garcia M. PENG Block: A superior alternative for pain management in intracapsular hip fractures. Saudi J Anaesth. 2025 Apr-Jun;19(2):251-256. doi: 10.4103/sja.sja_96_25. Epub 2025 Mar 25.

  PMID: 40255360 DERIVED

MeSH Terms

Conditions

Hip Fractures; Pain, Postoperative

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Central Study Contacts

Carles Espinós Ramírez

CONTACT

+34650125113; md071683@uic.es

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 9, 2022
• First Posted: May 17, 2022
• Study Start: April 29, 2022
• Primary Completion: December 1, 2023
• Study Completion: December 1, 2023
• Last Updated: March 17, 2023

Record last verified: 2023-03

Locations

ES (1)