Actively Recruiting

Phase Not Applicable
Age: 18Years - 75Years
All Genders
ID07513740

Comparison of the Analgesic Efficacy of the PENG Block and the Deep Iliacus Plane Block During Positioning for Spinal Anesthesia and Postoperative Period in Intertrochanteric Femur Fractures

Led by Erzincan Binali Yildirim Universitesi · Updated on 2026-04-07

75

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Intertrochanteric femur fractures frequently affect elderly patients and cause significant pain, especially during positioning for spinal anesthesia and after surgery. Researchers are comparing two regional anesthesia techniques—the Pericapsular Nerve Group (PENG) block and the Deep Iliacus Plane Block (DIPB)—to see which provides better pain relief with fewer side effects in patients undergoing surgery for these fractures. This study is a prospective, randomized controlled trial conducted to address the lack of data comparing these two approaches.

CONDITIONS

Brief Title

PENG vs Deep Iliacus Plane Block in Intertrochanteric Femur Fractures

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 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
Not Eligible

You will not qualify if you...

  • 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

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - One day, including preoperative analgesic block and surgery

Participants receive one of the analgesic interventions before spinal anesthesia: standard intravenous analgesia, PENG block, or Deep Iliacus Plane Block. Surgery is performed under spinal anesthesia after block administration.

1 baseline visit (in-person) on the day of surgery

Post-operative Follow-up

Duration - 24 hours

Participants are monitored and assessed for postoperative pain and analgesic use during the first 24 hours after surgery while receiving routine postoperative care.

Pain assessments at 3, 6, 12, and 24 hours postoperatively

Trial Site Locations

Total: 1 location

1

Erzincan Mengücek Gazi Eğitim ve Araştırma Hastanesi

Erzincan, Merkez/Türkiye, Turkey (Türkiye), 24000

Actively Recruiting

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Research Team

T

Taha Emre ÖTÜGEN

F

Fethi AKYOL

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

3

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Published Research Related To This Trial

Ultrasound-guided Deep Iliacus Plane Block (DIPB): Cadaveric Evaluation and Pilot Retrospective Evaluation of Another Novel Fascial Plane Block for Hip Analgesia.

Serkan Tulgar, Bahadır Çiftçi, Bediha Koyuncu...

https://pubmed.ncbi.nlm.nih.gov/41498358

Association of Increasing Use of Spinal Anesthesia in Hip Fracture Repair With Treating an Aging Patient Population.

Bryan G Maxwell, Warren Spitz, Jeremy Porter

https://pubmed.ncbi.nlm.nih.gov/31746959