Hip fracture: PENG block alone vs PENG with LFCN block for easing spinal anesthesia positioning

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults with unilateral hip fractures undergo spinal anesthesia and experience intense pain during positioning. The trial compares two regional anesthesia approaches: PENG block alone versus PENG combined with LFCN block, both using local anesthetics. Ultrasound guidance is used to deliver targeted analgesia to improve positioning without significant motor block. Outcomes focus on analgesia quality during positioning and procedural feasibility in the hip fracture population.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age 18-70 years.
* ASA I-II.
* Confirmed primary unilateral hip fracture.
* Scheduled for surgery under spinal anesthesia.
* Patients able to provide informed consent.

Exclusion Criteria:

* Allergy to local anesthetics.
* Coagulopathy or on anticoagulant therapy.
* Infection at injection site.
* Pre-existing neurological deficits in the lower limbs.
* Multiple trauma or polytrauma (If other injuries might interfere with positioning or pain scoring).
* Previous surgery on the ipsilateral hip affecting anatomy or nerve distribution.

Where it's running

• Ain Shams University
  Cairo, Egypt Recruiting

Study contacts

• Study coordinator: Maha Salah, lecturer
• Email: mahata5deer@gmail.com
• Phone: +201007269331

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Other studies for the same condition or treatment. Recruiting studies are listed first.

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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.