Pericapsular Nerve Group Block Versus Femoral Nerve Block Study | NCT07717463

NCT07717463

Overview

NCT ID: NCT07717463
Lead Sponsor: Taksim Egitim ve Arastirma HastanesiOTHER_GOV
Official Title: Comparison of Preoperative Pericapsular Nerve Group (PENG) Block Versus Femoral Nerve Block for Optimizing Spinal Anaesthesia in Proximal Femur Fracture Surgery: A Prospective Randomized Controlled Trial
Brief Summary: Hip fractures are common in older adults and are often associated with severe pain, making it difficult for patients to sit for spinal anesthesia before surgery. Peripheral nerve blocks may improve pain control and facilitate patient positioning, but it remains uncertain whether the Pericapsular Nerve Group (PENG) block provides advantages over the traditional femoral nerve block during the spinal anesthesia procedure.
Conditions: Hip Fractures
Interventions

Status and Timeline

Status: Recruiting
Last Update Posted: Jul 31, 2026Actual
Start Date: Jul 22, 2026Actual
Primary Completion Date: Dec 14, 2026Estimated
Completion Date

Participation Criteria

Ages Eligible for Study: Adult (18-64)Older Adult (65+)
Sexes Eligible for Study: All
Accepts Healthy Volunteers?: No
Eligibility Criteria: Inclusion Criteria:

Adults aged 50 years or older.

Diagnosis of proximal femoral fracture.

Scheduled to undergo surgical repair under spinal anesthesia.

American Society of Anesthesiologists (ASA) physical status I-III.

Able to provide written informed consent.

Exclusion Criteria:

Refusal to participate or inability to provide informed consent.

Coagulopathy or contraindication to spinal anesthesia or peripheral nerve block.

Local infection at the planned injection site.

Known allergy or hypersensitivity to local anesthetics.

Pre-existing neurological disease affecting lower extremity function or sensory assessment.

Cognitive impairment preventing reliable study participation or outcome assessment.

Previous lumbar spine surgery.

Polytrauma.

Body mass index (BMI) <18 kg/m² or >40 kg/m².

Current anticoagulant therapy that precludes neuraxial anesthesia or peripheral nerve block according to institutional practice.

Study Plan

Study Type: Interventional
Phase: Not Applicable
Enrollment: 110Estimated
Primary Purpose: Treatment
Allocation: Randomized
Interventional Model: Parallel Assignment
Masking: Triple

Contacts and Locations

Central Contacts: Celal Kaya, MDContact
c.kaya47@hotmail.com90 5435176760

Similar Studies

Participant Group/Arms

PENG BlockActive Comparator

Participants will receive a preoperative ultrasound-guided Pericapsular Nerve Group (PENG) block with 20 mL of 0.25% bupivacaine before spinal anesthesia for proximal femur fracture surgery. Spinal anesthesia will subsequently be performed according to the standardized study protocol.

Procedure: Ultrasound-Guided Pericapsular Nerve Group (PENG) Block

Procedure: Spinal Anesthesia (bupivacaine)

Femoral Nerve BlockActive Comparator

Participants will receive a preoperative ultrasound-guided femoral nerve block with 20 mL of 0.25% bupivacaine before spinal anesthesia for proximal femur fracture surgery. Spinal anesthesia will subsequently be performed according to the standardized study protocol.

Procedure: Ultrasound-Guided Femoral Nerve Block