Effects of Pericapsular Nerve Group Block Applied in Patients Undergoing Hip Fracture Surgery.

NCT06183541 | Recruiting

• 1 other identifier: UERH-AR-ZT-03
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 2

Brief Summary

In this study, it was aimed to compare the multimodal analgesia application or the pericapsular nerve group (PENG) block methods in patients undergoing hip surgery. The effectiveness and benefit rate of the PENG block in postoperative pain will be evaluated. Postoperative pain, need for additional analgesia, range of motion of the hip joint, mobilization time, length of hospital time and adverse events in patients undergoing hip fracture surgery with and without PENG block will be investigated.

Conditions

Hip Fractures; Pain, Postoperative

Keywords

PENG block; Anesthesia

Outcome Measures

Primary Outcomes (3)

• postoperative pain score

  VAS pain score

  30 min, 12th, 24th and 48th hours in the postoperative period

• Total opioid consumption

  Tramadol (mg)

  postoperative 48 hours

• mobilisation time

  take 5 steps with walker

  postoperative 24-48 hours

Secondary Outcomes (2)

• PENG block adverse events

  between the time surgery starts and the 48th hour

• length of hospital stay

  between the time of hospitalization for the operation and discharge (day)

Study Arms (2)

PENG Block group

ACTIVE COMPARATOR

PENG block group; USG probe is placed on the transverse plane medial to the anterior inferior iliac spine (AIIS), the medial end of the probe is placed on the superior pubic It is rotated approximately 45° counterclockwise to align it with the ramus. For the PENG block, an 80 mm block needle is placed in the fascial plane between the psoas tendon and pubic ramus and 20 ml of 0.5% bupivacaine is administered after spinal anesthesia,

Procedure: Pericapsular Nerve Group (PENG) Block

Control group

OTHER

Control group; 10 ml 0.5% bupivacaine + 10 ml 2% lidocaine is infiltrated into the surgical area by the surgical team at the end of surgery

Procedure: Pericapsular Nerve Group (PENG) Block

Interventions

Pericapsular Nerve Group (PENG) Block PROCEDURE

Pericapsular nerve group (PENG) block The femoral nerve and obturator nerve terminal branches, which provide sensory innervation of the hip joint, are blocked, thus providing analgesia without creating a motor block.

Control group; PENG Block group

Eligibility Criteria

• Age: 30 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who will undergo hip fracture surgery Women and men aged 30-85

You may not qualify if:

• Patients under 30 years old, over 85 years old
• American Society of Anesthesiology (ASA) IV,
• Those with cognitive impairment (alzheimer, dementia, delirium, etc.)
• Those with application site infection
• Those who are allergic to local anesthetic substances
• Patients are non-consenting patients.

Sponsors & Collaborators

• Umraniye Education and Research Hospital: lead

Study Sites (2)

Umraniye Education and Research Hospital

Istanbul, Umraniye, 34734, Turkey (Türkiye)

RECRUITING

UmraniyeERH

Istanbul, Umraniye, 34734, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Hip Fractures; Pain, Postoperative

Interventions

Dental Occlusion

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

Intervention Hierarchy (Ancestors)

Dentistry; Dental Physiological Phenomena; Digestive System and Oral Physiological Phenomena

Study Officials

• Zeliha Tuncel, MD

  Umraniye Education and Research Hospita

  STUDY DIRECTOR

Central Study Contacts

Zeliha Tuncel, MD

CONTACT

+905053577483; zelihalara@yahoo.com

Hale Arkan Tuna, MD

CONTACT

+905303705619; halearkan@yahoo.com.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Patients who underwent PENG block and those who did not undergo PENG block are randomly divided into two groups using the sealed envelope method. They are grouped as Group I: Those who received PENG block (n: 35) and Group II: Those who did not receive PENG block (control group) (n: 35).
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Model Details: This prospective randomised controlled study included a total of 70 patients aged 30-85 years who underwent hip fracture surgery under spinal anaesthesia. Patients were divided into two groups as PENG block and non-PENG block (control group).

Study Record Dates

• First Submitted: December 3, 2023
• First Posted: December 27, 2023
• Study Start: November 21, 2023
• Primary Completion: December 30, 2025
• Study Completion: January 30, 2026
• Last Updated: November 19, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)