Comparison of Analgesic Efficacy of Suprainguinal Fascia Iliaca and Quadro-iliac Blocks in Hip Fracture Surgery
Recruiting now
Conditions studied: Post Operative Pain
In brief
Hip fractures are common in the elderly and are associated with significant morbidity and mortality. Effective early analgesia is crucial for facilitating mobilization, reducing pulmonary complications, and improving overall outcomes. Although opioids are traditionally used for postoperative pain management, their adverse effects have led to increased interest in multimodal analgesia, particularly peripheral nerve blocks. The suprainguinal fascia iliaca block (SIFI) is a modified technique that allows wider spread of local anesthetic, providing more effective blockade of the femoral, obturator, and lateral femoral cutaneous nerves. The quadro-iliac plane block (QIPB), a recently described interfascial block, is performed at the level of the anterior superior iliac spine and may also affect branches of the lumbar and sacral plexus. While both techniques have been shown to provide effective analgesia and reduce opioid consumption, there is no study directly comparing them. Therefore, this study aims to compare the postoperative analgesic efficacy of SIFI and QIPB in patients undergoing hip fracture surgery.
Key facts
- Study ID
- NCT07546903
- Run by
- Hitit University
- People needed
- 70
- Starts
- 2025-10-20
- Expected to finish
- 2026-06-15
- Last updated by the study team
- 2026-04-23
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Patients aged 18 years and older
- ASA physical status I-III
- Hemodynamically stable patients
- Scheduled for surgical treatment of hip fracture
- Body mass index (BMI) ≤ 35 kg/m²
- Provided written informed consent
You may not qualify if…
- Refusal to participate
- ASA physical status IV-V
- Hemodynamically unstable patients
- Surgery not completed as planned
- Infection at the block site
- History of allergy to local anesthetics or tramadol
- Presence of neuromuscular or peripheral nerve diseases
- Chronic pain conditions
- Coagulopathy or ongoing anticoagulant therapy
- High-dose opioid use within the last 3 days
- Severe hepatic or renal insufficiency
- Diabetes mellitus
- Pregnancy or breastfeeding
- NRS score >7 for four consecutive hours despite multimodal analgesia
- Inability to understand or use assessment tools (e.g., NRS, QoR-15)
- Inability to communicate in Turkish
- Inability to use PCA device due to technical reasons
Where it is running
- Hitit university — Çorum, Turkey (Türkiye) (enrolling)
Full record on ClinicalTrials.gov
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