Comparing PENG and Femoral Nerve Blocks in Patients With Hip Fracture

NCT05961436 | Completed

• 1 other identifier: FMBSUREC/06062023/Fakhry
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this work is to compare between the use of PENG block and femoral nerve block for perioperative pain management in patients with hip fracture.

Conditions

Pain

Keywords

Femoral nerve; Pericapsular nerve group; Pain; Hip fracture

Outcome Measures

Primary Outcomes (1)

• Quadriceps muscle strength in recovery.

  Quadriceps muscle strength will be assessed using Oxford muscle strength grading with grouped scores of intact (5/5), reduced (1-4/5) and absent (0/5). Muscle Grading Scores: 0 No detectable muscle contraction (visible or palpation) 1. Detectable contraction (visible or palpation), but no movement achieved 2. Limb movement achieved, but unable to move against gravity 3. Limb movement against resistance of gravity 4. Limb movement against gravity and external resistance 5. Normal strength

  24 hours of the procedure

Secondary Outcomes (1)

• Visual analogue scale

  24 hours of the procedure.

Study Arms (2)

PENG block group

ACTIVE COMPARATOR

using ultrasound-guided technique, a total of 20ml of 0.25 % bupivacaine will be injected after negative aspiration.

Procedure: PENG block

FN block group

ACTIVE COMPARATOR

using ultrasound-guided technique, after negative aspiration, 20 mL of 0.25 % bupivacaine will be administered.

Procedure: FN block

Interventions

PENG block PROCEDURE

Using ultrasound-guided technique, a total of 20ml of 0.25 % bupivacaine will be injected after negative aspiration.

PENG block group

FN block PROCEDURE

Using ultrasound-guided technique, after negative aspiration, 20 mL of 0.25 % bupivacaine will be administered.

FN block group

Eligibility Criteria

• Age: 50 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with a hip fracture.
• Aged 50 years and older.

You may not qualify if:

• Consent refusal.
• Allergy to local anaesthetics.
• Infection of the puncture site.
• Dementia or cognitive impairment.

Sponsors & Collaborators

• Beni-Suef University: lead

Study Sites (1)

Beni-Suef University hospital

Banī Suwayf, Beni Suweif Governorate, 62814, Egypt

Location

MeSH Terms

Conditions

Pain; Hip Fractures

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Dina M Fakhry

  Beni-Suef University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Anesthesiology, Surgical Intensive Care and Pain Management

Study Record Dates

• First Submitted: July 11, 2023
• First Posted: July 27, 2023
• Study Start: September 1, 2023
• Primary Completion: November 1, 2024
• Study Completion: November 1, 2024
• Last Updated: November 19, 2025

Record last verified: 2025-11

Locations

EG (1)