PENG Block in Comparison With FICB for Hip Reconstruction in Children

NCT06210503 | Active Not Recruiting DMC

• 1 other identifier: PENG vs FICB
• Study Type: interventional
• Target: 86
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to test the hypothesis that performing a Pericapsular nerve group (PENG) block allows for more effective analgesia in the perioperative period during reconstructive surgery on the hip in children with cerebral palsy and spina bifida compared with Fascia illiaca compartment block (FICB).

Conditions

Perioperative Analgesia; Hip Dislocation, Developmental

Keywords

Anesthesia local; nerve block; postoperative pain; hip dislocation; children

Outcome Measures

Primary Outcomes (1)

• Opioids consumption

  Total dosage of opioids in postoperative period

  24 hours

Secondary Outcomes (3)

• Time to rescue analgesia

  24 hours

• Pain level

  2, 6, 12, 24 hours after completing the block

• Intraoperative level of analgesia

  Intraoperatively

Study Arms (2)

PENG group

ACTIVE COMPARATOR

The patient will undergo pericapsular nerve blockade with 0.5% ropivacaine based on 3 mg/kg ropivacaine using ultrasound scanning.

Procedure: Pericapcelar group nerve block

FICB group

ACTIVE COMPARATOR

The patient will undergo FICB with 0.5% ropivacaine based on 3 mg/kg ropivacaine using ultrasound scanning.

Procedure: Fascia iliaca compartment block

Interventions

Pericapcelar group nerve block PROCEDURE

In the supine position, a high-frequency linear sensor is placed in the anterior superior iliac spine and then aligned with the ramus of the pubis by rotating the probe counterclockwise approximately 45 degrees. The iliopsoas muscle and tendon, femoral artery, and pectineus muscle were observed in this view.The iliopsoas muscle and its tendon are visualized, as well as the vascular and nerve bundle: femoral artery, vein, and nerve. The needle is inserted laterally to medially in a planar approach to place the tip in the musculofascial plane between the psoas tendon anteriorly and the ramus pubis posteriorly. After negative aspiration, local anesthetic will be gradually injected aspirating every 3 mL.

PENG group

Fascia iliaca compartment block PROCEDURE

In the supine position, a high-frequency linear sensor is placed in the inguinal fold. Scan starting lateral to the femoral artery and the nerve in the inguinal crease to identify the sartorius muscle, tracing the muscle to its origin to the anterior superior iliac spine. A shadow of the iliac crest bone and iliacus muscle will be visible, with the end point of injection being deep in the fascia iliaca and above the iliacus muscle at the lateral aspect of the iliacus muscle. After negative aspiration, local anesthetic will be gradually injected under the fascial plane, aspirating every 3 mL.

FICB group

Eligibility Criteria

• Age: 3 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• reconstructive surgery on the hip joint
• children with cerebral palsy/ spina bifida/organic brain injury
• age 3 - 18 years.

You may not qualify if:

• contraindications to the use of local anesthetics
• contraindications to performing an invasive procedure
• ASA \> 3

Sponsors & Collaborators

• Saint Petersburg State University, Russia: lead

Study Sites (1)

Saint-Petersburg State University

Saint Petersburg, Russia

Location

MeSH Terms

Conditions

Developmental Dysplasia of the Hip; Pain, Postoperative; Hip Dislocation

Condition Hierarchy (Ancestors)

Joint Dislocations; Joint Diseases; Musculoskeletal Diseases; Musculoskeletal Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Wounds and Injuries; Hip Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 21, 2023
• First Posted: January 18, 2024
• Study Start: December 4, 2023
• Primary Completion: November 1, 2025
• Study Completion: November 1, 2025
• Last Updated: July 8, 2025

Record last verified: 2025-07

Locations

RU (1)