Clinical trial Recruiting at 1 site Interventional Ages 60 and up

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 typeInterventional
Ages60 Years and up
SexAll
Enrollment63 (estimated)
SponsorZagazig University
Government
Locations1 site (Zagazig, Alsharqia)
StatusRecruiting
StartedDecember 20, 2022
Main results expectedFebruary 1, 2026
Study endsApril 1, 2026
Registry record updatedJuly 17, 2025
Trial IDNCT05660603 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

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.