PENG 360°: Motor-Sparing PENG Block and Local Infiltration Analgesia for Hip Endoprosthesis Surgery with Anterior Approach

What this Trial Is About

Researchers are evaluating a new local anesthesia technique compared to standard spinal anesthesia for adults undergoing hip endoprosthesis surgery due to femoral fracture. The study aims to find out if the new motor-sparing method controls pain as effectively as spinal anesthesia during the first two days after surgery and whether it helps participants move their leg sooner. This approach targets sensory nerves around the hip to reduce pain while potentially avoiding side effects like nausea and allowing faster recovery. Participants will be randomly assigned to one of two groups. One group will receive the new anesthesia technique involving three ultrasound-guided injections: an anterior Pericapsular Nerve Group (A-PENG) block, local infiltration analgesia (LIA) around the incision, and a posterior PENG (PONG) block. The other group will receive the standard spinal anesthesia before surgery. All participants will receive standardized post-operative pain treatment including intravenous paracetamol, ketorolac, and morphine via patient-controlled analgesia. During the study, researchers will monitor the amount of additional pain medication used within 48 hours after surgery and assess participants' ability to move their hip, knee, and foot soon after the operation. They will also track nausea, pain intensity, and length of hospital stay. Data will be securely collected and analyzed to compare outcomes between groups. Participation involves follow-up visits and assessments up to 48 hours post-surgery, with hospital stay monitored up to 30 days.

PENG Block + LIA For Endoprosthesis Surgery With Anterior Approach