Pain management in elderly hip fractures

Phase 4

Not yet recruiting

Conditions: Fracture of head and neck of femur, (2) ICD-10 Condition: S721||Pertrochanteric fracture,

Registration Number: CTRI/2022/11/047757

Lead Sponsor: Ganga Medical Centre and Hospitals Pvt Ltd

Brief Summary: The study proposes to include patients aged more than 65 years identified to have either intertrochanteric fracture or neck of femur fracture. They will be initially checked if they meet the inclusion criteria and upon that will be included in the study. They will be divided into two groups either Femoral nerve group or Pericapsular nerve group block according to Computer generated randomization. They will undergo block administration on arrival according to their group. Their pain assessment (according to VAS scale) and vitals monitoring would be done at regular intervals. They will undergo surgical management for the fracture. They will receive block again in the preoperative period according to the earlier decided group. Their pain assessment, vitals monitoring and muscle strength would be done at regular intervals. Other complications such as post-operative onset delirium would be assessed. Finally total opioid administration during their stay, and duration of hospital stay would be assessed. Results will be analyzed to know whether Femoral nerve block is better than the Pericapsular nerve group block as preemptive analgesia in Geriatric hip fracture patients. This would help us to better understand the role of the block as preemptive analgesia in Geriatric hip fracture patients

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 60

Inclusion Criteria

Patients with Neck of femur and intertrochanteric fracture above 65 years of age will be included in the study.

Exclusion Criteria

Patients with polytrauma, open fractures, fractures with subtrochanteric extension, non-ambulatory patients, unable to communicate, patients having history of opioid abuse, patients currently on opioid medication and patients who do not consent for the study will be excluded from the study.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Assessment of reduction in pain would be done using VAS scoring, opioid use will be calculated in terms of milliequivalents of morphine, muscle strength will be calculated according to MRC grading, duration of hospital stay will be calculated and compared between participants receiving Femoral nerve block and Pericapsular nerve group block	Assessment to be done till discharge of patient from hospital

Secondary Outcome Measures

Name	Time	Method
Blood loss during surgery, Ease of positioning patient during surgery, Incidence of Delirium in post operative period will be assessed	Assessment of reduction in pain would be Assessment to be done till discharge of patient from hospital

Trial Locations

Locations (1): Ganga Medical Centre and Hospitals Pvt. Ltd
🇮🇳
Coimbatore, TAMIL NADU, India
Ganga Medical Centre and Hospitals Pvt. Ltd
🇮🇳Coimbatore, TAMIL NADU, India
Dr S Rajasekharan
Principal investigator
9843022325
rajasekaran.orth@gmail.com