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Circum-Psoas Blocks Versus Combined Lumbar and Sacral Plexus Blocks in Hip Fracture Surgery

RecruitingNAAges 60 Years - anyAllZagazig University
NCT05660603 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Hip fracture (HF) is one of the major worldwide problems that constitute a significant mortality rate, ranging from 14- 36% in the first year after injury, and is associated with profound temporary and sometimes permanent impairment of independence and quality of life in the geriatric population. Surgical treatment is considered the best option for patients with hip fractures,s especially in the elderly, however, it is associated with moderate to severe postoperative pain. Pain is one of the main factors limiting ambulation, increasing the risk of thromboembolism by immobility and causing metabolic changes that affect other systems. Therefore, individualized pain management with the use of appropriate analgesic techniques is of paramount importance. Moreover, early intervention of rehabilitation aiming at a better postoperative recovery may reduce the length of hospital stay and return

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patient acceptance. * BMI ≤ 30 kg/m2 * ASA I-III. * First unilateral surgery for hip fracture including femoral neck, intertrochanteric or subtrochanteric fracture. * Patient with planned hip fracture surgery within 24-72 hours under general anesthesia. Exclusion Criteria: * Multiple trauma, multiple fractures, or pathological fractures * Prosthetic fracture or usage of bone-cement fixation in the surgery. * Scheduled for bilateral hip fracture surgery. * Pre-existing neurological deficit in the lower extremity * Contraindication for peripheral nerve block (infection at the site of needle insertion, coagulopathy, allergy to local anesthetics used) * History of chronic pain and taking analgesics * History of cognitive dysfunction or mental illness
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What it tests

  • control
  • LSP
  • CP
  • Ultrasound
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Where

1 site
Shereen E Abd Ellatif
Zagazig, Egypt
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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