Comparison Of Preoperative Ultrasound Guided Fascia Iliaca Block Versus Femoral Nerve Block for Proximal Femur Fractures Before Positioning for Spinal Anaesthesia

NCT07716358 | Completed

• 1 other identifier: 12
• Study Type: interventional
• Target: 84
• Locations: 1 country
• Sites: 1

Brief Summary

Proximal femur fractures are among the most painful orthopedic injuries Adequate analgesia is essential to facilitate positioning for spinal anesthesia, reduce opioid requirements, and minimize related complications. The aim of study to compare the analgesic efficacy of preoperative ultrasound-guided Fascia Iliac Block Versus and Femoral Nerve Block in patients with proximal femur fractures prior to positioning for spinal anesthesia.

Conditions

Proximal Femur Fractures; Nerve Block Assessment

Keywords

Femoral Nerve block; Fascia Iliac Compartment Block; visual analogue scale

Outcome Measures

Primary Outcomes (1)

• Pain Control

  In patients with proximal femur fractures pain assessment was done baseline before blocks and at five minutes after blocks administration. Pain control assessment was done based on Visual Analogue Scale from 0-10.

  05 minutes

Study Arms (2)

Group A Participants who received Ultrasound Guided Femoral Nerve Block

EXPERIMENTAL

Participants in group-A were 42 which were assigned randomly and Femoral Nerve Block was done before spinal anaesthesia.

Procedure: Femoral Nerve Block

Group B Participants who received Ultrasound Guided Fascia Iliaca Block

ACTIVE COMPARATOR

Participants in group- B were 42 which were assigned randomly and Fascia Iliaca Block was done before spinal anaesthesia.

Procedure: Fascia Iliaca Nerve Block

Interventions

Femoral Nerve Block PROCEDURE

FNB was carried out as follows: the linear probe was kept in a "in line plane" approach to identify the femoral artery under ultrasound guidance. The triangular, hyperechoic femoral nerve was identified as being situated lateral to the femoral artery. The femoral artery was positioned next to an insulated 22 G needle. Once the needle tip was located and a negative blood aspiration was obtained, a little amount of local anesthetic (injection bupivacaine 0.25%) was administered. The remaining drug volume was injected based on weight (0.5 ml/kg) once the local anesthetic distribution was observed

Group A Participants who received Ultrasound Guided Femoral Nerve Block

Fascia Iliaca Nerve Block PROCEDURE

The FICB was administered as described. We found the psoas muscle lateral to the femoral nerve. The iliacus fascia, which extends deep into the fascia Lata, covers it. Consequently, a double pop was felt after inserting the needle until it was between the psoas muscle and the fascia iliaca. As with the previously described method, 1 mL of the local aesthetic solution was injected, and following a negative blood aspiration, the medication disseminated beneath the fascia iliaca.

Group B Participants who received Ultrasound Guided Fascia Iliaca Block

Eligibility Criteria

• Age: 20 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ASA I\&II status patients coming for proximal femur fracture surgery

You may not qualify if:

• Patients with history of neurological disease (Alzheimer, dementia),
• Patients with known contraindication to regional anaesthesia (e.g., signs of infection at site of block, coagulation abnormality i.e. INR \>1.55, platelet count \<80,000)
• Patients with ASA III and IV status and patients with Known allergy to the study drug were excluded from study.

Sponsors & Collaborators

• Sahara Medical College Narowal Pakistan: lead

Study Sites (1)

Sughra Shafi Medical Complex

Chak Ninety-five North Branch, Punjab Province, 51600, Pakistan

Location

MeSH Terms

Conditions

Proximal Femoral Fractures

Condition Hierarchy (Ancestors)

Femoral Neck Fractures; Hip Fractures; Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Design

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

Study Record Dates

• First Submitted: July 9, 2026
• First Posted: July 21, 2026
• Study Start: January 1, 2026
• Primary Completion: June 30, 2026
• Study Completion: June 30, 2026
• Last Updated: July 21, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)