Which nerve block wins for hip surgery pain?
NCT ID NCT07288983
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares three types of nerve blocks (PENG, S-FICB, and L-ESPB) to see which provides the best pain relief after hip replacement while preserving leg strength for early walking. Researchers will enroll 93 adults aged 65 and older undergoing hip surgery. The goal is to reduce opioid use and improve recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nerve block (local anesthetic ropivacaine)
- What this could lead to
- If successful, this study could identify the best nerve block for hip replacement pain, reducing opioid use and speeding up recovery in older adults.
- What could go wrong
- This is a small, early-phase trial (93 participants) comparing existing techniques, so results may not apply to all patients. The blocks may not differ significantly in effectiveness.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
About 93 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Feb 2026
- Expected to finish
-
Jan 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
65 to 100 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 65 years or older scheduled to undergo elective hip arthroplasty under spinal anesthesia. * Ability to provide written informed consent. * Ability to understand and reliably use numerical pain assessment tools (NRS 0-10). * ASA physical status II-III. * Expected postoperative hospitalization of at least 48 hours to ensure complete data collection. Exclusion Criteria: * Inability to provide informed consent due to cognitive impairment, language barrier, or severe hearing/speech limitations. * Coagulopathy or therapeutic anticoagulation not meeting safety criteria for regional anesthesia. * Local infection at the planned block site. * Allergy, hypersensitivity, or contraindication to ropivacaine, local anesthetics, or study medications. * Pre-existing lower-limb neurological deficits (motor or sensory) affecting outcome assessments. * Severe spinal deformity or anatomical limitations preventing safe performance of regional blocks. * Chronic opioid use (defined as \>30 mg oral morphine equivalents daily for more than 2 weeks). * Severe renal failure (eGFR \<30 mL/min/1.73m²) or severe hepatic impairment. * Uncontrolled diabetes mellitus (fasting glucose \>300 mg/dL or HbA1c \>10%). * History of local anesthetic systemic toxicity (LAST). * Participation in another interventional clinical trial within the past 30 days. * Any condition deemed by investigators to interfere with protocol adherence, safety monitoring, or outcome reliability.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Hip osteoarthritis are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Poznan University of Medical Sciences
RECRUITINGPoznan, 62-701, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Brain waves may reveal how well a sedative blocks surgical pain
- Hip replacement showdown: does the labrum stay or go?
- Can physical therapy beamed into rural homes ease arthritis pain?
- Can catching anemia months before joint surgery speed recovery?
- Can a new turkish questionnaire accurately measure hip osteoarthritis?
- Could a 2-Hour online class before hip surgery boost recovery?