Comparison of Meta-PENG and Suprainguinal Fascia Iliaca Plane Block in Hip Fractures

NCT07612761 | Recruiting

• 1 other identifier: 2026-273
• Study Type: observational
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective observational single-center study will compare the effects of ultrasound-guided meta-PENG block and suprainguinal fascia iliaca plane block in patients undergoing hip fracture surgery under spinal anesthesia. Hip fracture surgery can cause significant pain before, during, and after the operation. Regional anesthesia techniques may help reduce pain, improve positioning for spinal anesthesia, decrease the need for additional analgesics, and support earlier mobilization. Patients included in the study will be adults scheduled for hip fracture surgery under spinal anesthesia. According to routine clinical practice and the anesthesiologist's decision, patients will receive either ultrasound-guided meta-PENG block or ultrasound-guided suprainguinal fascia iliaca plane block. The study will not assign patients to a treatment group by randomization. The main outcome will be pain during positioning for spinal anesthesia, measured using the Numeric Rating Scale. Additional outcomes will include postoperative pain at rest and during activity, additional analgesic consumption, patient satisfaction, mobilization time, and length of hospital stay.

Conditions

Hip Fracture; Postoperative Pain; Regional Anesthesia

Keywords

Hip fracture; Meta-PENG block; Suprainguinal fascia iliaca plane block; Postoperative analgesia; Regional anesthesia

Outcome Measures

Primary Outcomes (1)

• Pain During Positioning for Spinal Anesthesia

  Pain intensity during positioning for spinal anesthesia will be assessed using the Numeric Rating Scale. The Numeric Rating Scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.

  During the positioning for spinal anesthesia, immediately before spinal needle insertion(Periprocedural)

Study Arms (2)

Meta-PENG Block Group

Patients undergoing hip fracture surgery under spinal anesthesia who receive ultrasound-guided meta-PENG block as part of routine perioperative analgesia management.

Procedure: Ultrasound-Guided Meta-PENG Block

Suprainguinal Fascia Iliaca Plane Block Group

Patients undergoing hip fracture surgery under spinal anesthesia who receive ultrasound-guided suprainguinal fascia iliaca plane block as part of routine perioperative analgesia management.

Procedure: Ultrasound-Guided Suprainguinal Fascia Iliaca Plane Block

Interventions

Ultrasound-Guided Meta-PENG Block PROCEDURE

Ultrasound-guided meta-PENG block performed as part of routine perioperative regional analgesia management in patients undergoing hip fracture surgery under spinal anesthesia.

Meta-PENG Block Group

Ultrasound-Guided Suprainguinal Fascia Iliaca Plane Block PROCEDURE

Ultrasound-guided suprainguinal fascia iliaca plane block performed as part of routine perioperative regional analgesia management in patients undergoing hip fracture surgery under spinal anesthesia.

Suprainguinal Fascia Iliaca Plane Block Group

Eligibility Criteria

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

Study Population

Adult patients scheduled to undergo hip fracture surgery under spinal anesthesia at Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital will be included. Eligible patients will be ASA physical status I-III and will receive either ultrasound-guided meta-PENG block or ultrasound-guided suprainguinal fascia iliaca plane block as part of routine perioperative analgesia management.

You may qualify if:

• Age greater than 18 years
• ASA physical status I-III
• Scheduled to undergo hip fracture surgery under spinal anesthesia
• Written informed consent obtained from the patient or the patient's legal representative

You may not qualify if:

• Refusal to participate in the study
• ASA physical status IV-V
• Presence of central or autonomic nervous system disease
• Known allergy to the drugs used in the study

Sponsors & Collaborators

• Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital: lead

Study Sites (1)

Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital

Istanbul, Istanbul, 34000, Turkey (Türkiye)

RECRUITING

Related Publications (2)

• Pai P, Amor D, Lai YH, Echevarria GC. Use and Clinical Relevancy of Pericapsular Nerve Block (PENG) in Total Hip Arthroplasty: A Systematic Review and Meta-analysis. Clin J Pain. 2024 May 1;40(5):320-332. doi: 10.1097/AJP.0000000000001196.

  PMID: 38268183 RESULT

• Giron-Arango L, Peng PWH, Chin KJ, Brull R, Perlas A. Pericapsular Nerve Group (PENG) Block for Hip Fracture. Reg Anesth Pain Med. 2018 Nov;43(8):859-863. doi: 10.1097/AAP.0000000000000847.

  PMID: 30063657 RESULT

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

Study Officials

• Sule Altuncu, MD

  Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sule Altuncu, MD

CONTACT

+90 216 606 33 00; sule.621@hotmail.com

Şule Altuncu, MD

CONTACT

+90 539 910 1999

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 19, 2026
• First Posted: May 29, 2026
• Study Start: May 14, 2026
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: May 29, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)