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PENG vs Deep Iliacus Plane Block in Intertrochanteric Femur Fractures
Sponsor: Erzincan Binali Yildirim Universitesi
Summary
Intertrochanteric femur fractures are common in elderly patients and are associated with significant pain. Providing effective analgesia is clinically important both during positioning for spinal anesthesia and in the postoperative period in this patient population. The Pericapsular Nerve Group (PENG) block is a regional anesthesia technique that targets the articular branches of the hip capsule and may provide effective analgesia with motor-sparing potential. The Deep Iliacus Plane Block (DIPB) is a newer approach that may spread to both the articular branches and the lateral femoral cutaneous nerve. Although both blocks are used in patients with intertrochanteric fractures, there is a lack of sufficient randomized controlled data comparing their effectiveness for pain during positioning for spinal anesthesia and for postoperative analgesia. Therefore, it is important to determine which technique provides greater clinical benefit. The aim of this study is to compare the analgesic efficacy of the PENG block and the Deep Iliacus Plane Block during positioning for spinal anesthesia and in the postoperative period in patients undergoing surgery for 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
Key Details
Gender
All
Age Range
18 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
75
Start Date
2026-03-01
Completion Date
2027-03-01
Last Updated
2026-04-07
Healthy Volunteers
No
Conditions
Interventions
Intravenous Analgesia
Standard preoperative intravenous analgesia according to institutional protocol.
Pericapsular nerve group (PENG) block
Ultrasound-guided PENG block with injection of 30 mL of 0.25% bupivacaine.
Deep Iliacus Plane Block (DIPB)
Ultrasound-guided Deep Iliacus Plane Block with injection of 30 mL of 0.25% bupivacaine.
Locations (1)
Erzincan Mengücek Gazi Eğitim ve Araştırma Hastanesi
Erzincan, Merkez/Türkiye, Turkey (Türkiye)