Comparing two pain management techniques for hip fracture surgery
Official title: Circum-Psoas Blocks Versus Combined Lumbar and Sacral Plexus Blocks for Sensory Level and Postoperative Analgesia Obtained in Hip Fracture Surgery
Run by Zagazig University · NCT05660603 · Data updated 2026-11-12
This study is testing which pain management technique works better for older patients having hip fracture surgery to help them recover faster and use fewer opioids.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 60 Years and up |
| Sex | All |
| Enrollment | 63 (estimated) |
| Sponsor | Zagazig University Government |
| Locations | 1 site (Zagazig, Alsharqia) |
| Status | Recruiting |
| Started | December 20, 2022 |
| Main results expected | February 1, 2026 |
| Study ends | April 1, 2026 |
| Registry record updated | July 17, 2025 |
| Trial ID | NCT05660603 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are elderly patients aged 65 and over with a first unilateral hip fracture scheduled for surgery.
✕Probably not a fit
Patients with multiple fractures, neurological deficits, or contraindications for nerve blocks may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study compares the effectiveness of circum-psoas blocks versus combined lumbar and sacral plexus blocks for managing postoperative pain in patients undergoing hip fracture surgery. It aims to determine which technique provides better pain relief, thereby facilitating early mobilization and recovery. The study will involve patients aged 65 and over who are scheduled for hip fracture surgery within 24-72 hours. By utilizing ultrasound guidance for nerve blocks, the study seeks to minimize opioid use and enhance recovery outcomes.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management strategies for elderly patients undergoing hip fracture surgery, enhancing their recovery and quality of life.
How similar studies have gone: Previous studies have shown promise in using regional anesthesia techniques for pain management in hip fracture surgeries, indicating that this approach is supported by existing evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient acceptance. * BMI ≤ 30 kg/m2 * ASA I-III. * First unilateral surgery for hip fracture including femoral neck, intertrochanteric or subtrochanteric fracture. * Patient with planned hip fracture surgery within 24-72 hours under general anesthesia. Exclusion Criteria: * Multiple trauma, multiple fractures, or pathological fractures * Prosthetic fracture or usage of bone-cement fixation in the surgery. * Scheduled for bilateral hip fracture surgery. * Pre-existing neurological deficit in the lower extremity * Contraindication for peripheral nerve block (infection at the site of needle insertion, coagulopathy, allergy to local anesthetics used) * History of chronic pain and taking analgesics * History of cognitive dysfunction or mental illness
Where it's running
-
Shereen E Abd Ellatif
Zagazig, Alsharqia, Egypt Recruiting
Study contacts
- Study coordinator: Shereen E Abd Ellatif, MD
- Email: shosh.again@gmail.com
- Phone: 01007948840
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Patient-centered education after hip fracture surgery
A structured education program after hip fracture surgery is being tested to see if it helps patients recover better than routine care alone.
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PENG Block Compared with Femoral Nerve Block for Spinal Anesthesia in Hip Fracture Surgery
This trial tests whether the ultrasound-guided Pericapsular Nerve Group (PENG) block helps when positioning for spinal anesthesia in older adults with hip fractures, compared with the standard femoral nerve block.
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French version validation of the New Mobility Score for older adults after hip fracture
This study tests whether the French version of the New Mobility Score accurately measures mobility in French patients aged 75 and older after hip fracture.
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One versus two doses of tranexamic acid for hip fracture surgery
This will test whether giving one dose or two doses of tranexamic acid around surgery helps people aged 65 and older with pertrochanteric or subtrochanteric hip fractures lose less blood and need fewer transfusions.
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PENG block plus local infiltration analgesia for anterior-approach hip replacement
This test sees if a motor-sparing PENG block combined with local infiltration around the hip controls pain as well as spinal anesthesia for adults having anterior‑approach hip replacement.
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PENG versus femoral nerve block for hip fracture pain
This will test whether a PENG nerve block or a femoral nerve block gives better pain relief and reduces opioid use for adults with confirmed hip fractures who agree to a nerve block.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.