Nerve block showdown: which eases hip fracture surgery pain best?
NCT ID NCT07717463
First seen Jul 21, 2026 · Last updated Jul 31, 2026 · Updated 2 times
Summary
This trial compares two types of nerve blocks—the newer PENG block and the traditional femoral nerve block—given before spinal anesthesia for hip fracture surgery. The goal is to see which one better reduces pain and helps patients sit comfortably for the spinal injection. Adults aged 50 and older with hip fractures are being studied to find the most effective approach.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a nerve block procedure using bupivacaine
- What this could lead to
- If one nerve block proves better, it could make spinal anesthesia easier and less painful for people with hip fractures.
- What could go wrong
- This is a small, single-center trial, so results may not apply broadly. Both blocks carry risks like infection or nerve damage.
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
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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
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About 110 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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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 50 years or older. * Diagnosis of proximal femoral fracture. * Scheduled to undergo surgical repair under spinal anesthesia. * American Society of Anesthesiologists (ASA) physical status I-III. * Able to provide written informed consent. Exclusion Criteria: * Refusal to participate or inability to provide informed consent. * Coagulopathy or contraindication to spinal anesthesia or peripheral nerve block. * Local infection at the planned injection site. * Known allergy or hypersensitivity to local anesthetics. * Pre-existing neurological disease affecting lower extremity function or sensory assessment. * Cognitive impairment preventing reliable study participation or outcome assessment. * Previous lumbar spine surgery. * Polytrauma. * Body mass index (BMI) \<18 kg/m² or \>40 kg/m². * Current anticoagulant therapy that precludes neuraxial anesthesia or peripheral nerve block according to institutional practice.
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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.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Taksim Training and Research Hospital
NOT_YET_RECRUITINGIstanbul, Beyoglu, Turkey (Türkiye)
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Taksim Training and Research Hospital
RECRUITINGIstanbul, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Effect of intrathecal dexmedetomidine as an adjuvant to hyperbaric bupivacaine on the incidence of postoperative delirium in elderly patients undergoing hip fracture surgeries under spinal anesthesia
- Can a new hip buffer restore mobility after fractures?
- Can a gentler spinal anesthesia keep frail patients' blood pressure steadier during hip surgery?
- Can diet and exercise rebuild strength after a hip fracture?
- Can a Bone-Strengthening infusion given right after hip surgery prevent a second break?
- Home rehab after hip fracture: a new hope for independence?