PENG versus Deep Iliacus Plane block for pain relief in intertrochanteric femur fractures
Official title: Comparison of the Analgesic Efficacy of the PENG Block and the Deep Iliacus Plane Block During Positioning for Spinal Anesthesia and in the Postoperative Period in Intertrochanteric Femur Fractures: A Prospective, Randomized Controlled Study
Run by Erzincan Binali Yildirim Universitesi · NCT07513740 · Data updated 2026-11-12
This study will see if PENG or Deep Iliacus Plane nerve blocks give better pain relief and make positioning for spinal anesthesia easier for adults having surgery for intertrochanteric hip fractures.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 75 (estimated) |
| Sponsor | Erzincan Binali Yildirim Universitesi Academic / other |
| Locations | 1 site (Erzincan, Merkez/Türkiye) |
| Status | Recruiting |
| Started | March 1, 2026 |
| Main results expected | March 1, 2027 |
| Study ends | March 1, 2027 |
| Registry record updated | April 7, 2026 |
| Trial ID | NCT07513740 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 30–85 with ASA physical status I–III scheduled for elective intertrochanteric femur fracture repair under spinal anesthesia who are not chronic opioid users and have no infection or bleeding risk at the block site.
✕Probably not a fit
Patients who are ASA IV or higher, undergoing emergency surgery, with cognitive impairment, chronic opioid use, infection at the injection site, bleeding diathesis, or requiring additional general anesthesia are unlikely to be eligible or to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, single-center, double-blind randomized controlled trial enrolling a minimum of 75 adults aged 30–85 with ASA I–III who are scheduled for elective intertrochanteric femur fracture repair at Erzincan Mengücek Gazi Training and Research Hospital. Participants will be randomized to receive a PENG block, a Deep Iliacus Plane Block (DIPB), or standard intravenous analgesia before spinal anesthesia, with patients and outcome assessors blinded to group assignment. Pain during positioning for spinal anesthesia, postoperative pain scores, opioid consumption, and motor function will be recorded in the immediate perioperative and early postoperative periods. The study will run over a 12-month period after ethics approval and informed consent is obtained.
Why it matters
Potential benefit: If one block provides superior pain control with less motor blockade, patients could have more comfortable positioning for spinal anesthesia, lower postoperative opioid needs, and faster early recovery.
How similar studies have gone: PENG block has growing evidence as a motor-sparing approach for hip analgesia and small trials show benefit, while the DIPB is newer with limited randomized comparative data, so direct head-to-head evidence is sparse.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients scheduled for elective surgery for intertrochanteric femur fractures * Patients with ASA physical status I, II, or III * Patients aged between 30 and 85 years Exclusion Criteria: * Patients with ASA physical status IV or higher * Patients undergoing emergency surgery * Patients who refuse to participate or withdraw consent during the study * Patients with cognitive dysfunction such as Alzheimer's disease, dementia, or delirium * Patients with a history of local anesthetic toxicity * Patients with infection at the planned block site * Patients with bleeding diathesis * Patients undergoing additional surgical procedures or additional anesthesia (e.g., general anesthesia) * Patients with a history of chronic opioid use or receiving treatment for neuropathic pain
Where it's running
-
Erzincan Mengücek Gazi Eğitim ve Araştırma Hastanesi
Erzincan, Merkez/Türkiye, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Taha Emre ÖTÜGEN
- Email: tahaemreotugen@gmail.com
- Phone: +905307060125
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Gastrocnemius plane block for foot and ankle surgery
This study tests whether a gastrocnemius plane block can reduce pain after foot and ankle surgery and lessen the use of opioid pain medicines in adults.
-
Quadroiliac Plane Block vs Transmuscular Quadratus Lumborum Block for Hip Replacement Pain
This study tests whether the Quadroiliac Plane Block provides better postoperative pain relief and lower opioid use than the transmuscular quadratus lumborum block after total hip arthroplasty conducted under spinal anesthesia.
-
Deep iliacus plane block vs transmuscular quadratus lumborum block for hip surgery pain relief
This study tests whether the deep iliacus plane block provides better pain relief and recovery than the transmuscular quadratus lumborum block after total hip replacement.
-
PIFPB-based blocks to aid pain relief after cardiac surgery
This observational study tests whether combining a pectoral-intercostal fascial plane block with either a recto-intercostal fascial plane block or a rectus sheath block can improve postoperative pain control for adults undergoing elective cardiac surgery.
-
Bilateral ESPB versus OSTAPB for postoperative pain after colorectal surgery
This study tests whether, after open colorectal surgery, an ultrasound-guided bilateral erector spinae plane block works better or the bilateral OSTAP block works better for controlling pain.
-
Quadro-Iliac Plane Block for Hip Surgery: Observational Insights
This study tests how well the QIP block, used during hip surgery, works for pain and recovery compared with other regional anesthesia techniques.
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.