PENG 360°: PENG Block + LIA Nella Endoprotesi di Anca Con Accesso Anteriore.

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The goal of this clinical trial is to learn if a new local anesthesia technique can control pain as well as the standard spinal anesthesia for adults having hip endoprosthesis surgery. The main questions it aims to answer are: * Is the new local anesthesia technique as effective as standard spinal anesthesia in managing pain during the first two days after surgery? * Does the new technique allow participants to move their leg sooner after the operation? Researchers will compare the new local anesthesia technique (numbing medicine injected directly around the hip joint) to standard spinal anesthesia (a numbing injection in the back) to see if the new technique works just as well for pain control while possibly causing fewer side effects like nausea. Participants who join this study will be randomly placed into one of two groups. One group will receive the standard spinal anesthesia before their surgery. The other group will receive the new local anesthesia technique before their surgery. After the operation, researchers will track the amount of extra pain medicine each participant uses and will check their ability to move their hip, knee, and foot.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Provision of signed and dated informed consent form.

• Scheduled for hip endoprosthesis surgery for femoral fracture with an anterior approach.

• Age 18 years or older.

• Willing and able to comply with the study protocol.

Locations
Other Locations
Italy
Gaetano Pini-CTO
RECRUITING
Milan
Contact Information
Primary
Romualdo Del Buono, MD
romualdo.delbuono@asst-pini-cto.it
+39 02 5829 6592
Time Frame
Start Date: 2025-12-01
Estimated Completion Date: 2026-04-30
Participants
Target number of participants: 100
Treatments
Experimental: PENG 360°
Participants assigned to this arm will receive a motor-sparing anesthetic technique. This consists of three ultrasound-guided injections performed before surgery: an anterior Pericapsular Nerve Group (PENG) block, a Local Infiltration Analgesia (LIA) of the incision line, and a posterior PENG (PONG) block.
Active_comparator: Spinal
Participants assigned to this arm will receive standard spinal anesthesia. The procedure will be performed according to the center's standard practice and guidelines, with the choice of local anesthetic and dosage at the discretion of the anesthesiologist
Related Therapeutic Areas
Sponsors
Leads: ASST Gaetano Pini-CTO

This content was sourced from clinicaltrials.gov

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