PENG vs Deep Iliacus Plane Block in Intertrochanteric Femur Fractures

Recruiting now · Not applicable

Conditions studied: Postoperative Analgesia, Hip Surgery

In brief

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.

Key facts

Study ID: NCT07513740
Run by: Erzincan Binali Yildirim Universitesi
People needed: 75
Starts: 2026-03-01
Expected to finish: 2027-03-01
Last updated by the study team: 2026-04-07

Who can join

Age: 18 and older, up to 75. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

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

You may not qualify if…

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 is running

Erzincan Mengücek Gazi Eğitim ve Araştırma Hastanesi — Erzincan, Merkez/Türkiye, Turkey (Türkiye) (enrolling)

Full record on ClinicalTrials.gov

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