Preoperative and Postoperative Comparison of Two Nerve Blocks in Intertrochanteric Fracture Surgery

NCT07075432 | Active Not Recruiting

• 1 other identifier: ErzincanU-ANESTEZİ-DO-02
• Study Type: observational
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with intertrochanteric femur fractures experience significant perioperative and postoperative pain. Perioperative pain can complicate and prolong the anesthesia process for patients undergoing spinal anesthesia, leading to complications in the procedure. Postoperative pain, in turn, prolongs hospital stays, delays recovery, and can lead to chronic postoperative pain due to high-dose opioid use for pain control. The aim of this single-center, prospective, observational study is to compare the effects of pericapsular nerve block and anterior quadratus lumborum block on spinal anesthesia positioning pain and postoperative analgesia in patients undergoing surgery for intertrochanteric femur fractures. Our study distinguishes itself by providing scientific guidance, as there are no studies in the literature comparing the effects of these two blocks on spinal anesthesia positioning pain, spinal anesthesia success, and postoperative analgesia.

Conditions

Postoperative Pain; Fracture Femur

Keywords

pericapsular nerve block; quadratus lumborum block, anterior; Pain, Postoperative; Fracture, intertrochanteric

Outcome Measures

Primary Outcomes (1)

• Numeric Rating Scale

  The numerical rating scale (NRS) is a pain score used to rate pain. Patients are asked to verbally indicate a number that matches their pain, place a check mark on the number indicating their pain, or point to the number. The scale ranges from 0 to 10. 0 indicates no pain, while 10 represents the worst possible pain.

  24 hours

Study Arms (2)

Grup P-Pericapsular Nerve Block

Among the patients taken to the preoperative preparation room in the operating room, those who received routine ultrasound-guided pericapsular nerve block (PENG) following routine preoperative monitoring will be added to Group P. Pain measurement will be evaluated according to the NRS scale.

Grup Q-Anterior Quadratus Lumborum Block

Among the patients taken to the preoperative preparation room in the operating room, those who underwent routine ultrasound-guided anterior quadratus lumborum (QLB-3) following routine preoperative monitoring will be added to Group Q. Pain measurement will be evaluated according to the NRS scale.

Eligibility Criteria

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

Study Population

It was calculated that a minimum of 64 patients should be included in the study. Patients between the ages of 30 and 85 who are scheduled for intertrochanteric femur fracture surgery by the orthopedics and traumatology clinic will be included in the study.

You may qualify if:

• Patients scheduled for elective intertrochanteric femur fracture surgery
• Patients with ASA I, II, or III risk scores
• Patients aged 30-85

You may not qualify if:

• Patients with an ASA risk score of IV or higher
• Patients undergoing emergency surgery
• Patients who refuse to participate in the study or wish to withdraw afterward
• Patients with cognitive dysfunction such as Alzheimer's, dementia, or delirium
• Patients with a history of local anesthetic drug toxicity
• Patients with an infection in the area where the block will be performed
• Patients with bleeding diatheses
• Patients undergoing additional surgery or additional anesthetic procedures (general anesthesia)
• Patients with a history of chronic opioid use and those receiving neuropathic pain treatment

Sponsors & Collaborators

• Erzincan University: lead

Study Sites (1)

Erzincan Üniversitesi, Erzincan, Merkez 24100

Erzincan, Merkez, 24100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain, Postoperative; Femoral Fractures; Hip Fractures

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor Dr.

Study Record Dates

• First Submitted: July 11, 2025
• First Posted: July 20, 2025
• Study Start: May 19, 2025
• Primary Completion: November 19, 2025
• Study Completion: November 19, 2025
• Last Updated: November 18, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)