Comparative study of fascia iliaca block vs. pericapsular nerve group block in preoperative pain management for fragility hip fractures

Fascia Iliaca vs. Pericapsular Nerve Group Block for Hip Fractures

Authors

  • Krishna Prasad Acharya Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Rupesh Kumar Yadav Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Pawan Kumar Hamal Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Nabin Pokhrel Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Tshering Sherpa Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Surendra Maharjan Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Jeevan Tamang Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Ribesh K.C. Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Deepak Kumar Yadav Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Neetish Kafle Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Gyanendra Nepali Department of Anaesthesia, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Dipendra Pandey Department of Orthopaedics, National Academy of Medical Sciences, Kathmandu, Nepal.

Keywords:

Fascia Iliaca Block, Hip Fracture, Pain, Pericapsular Nerve Group

Abstract

Introduction: Hip fractures in elderly patients are associated with significant morbidity and require effective preoperative pain management. This study compares the efficacy of the Fascia Iliaca Block (FIB) and the Pericapsular Nerve Group (PENG) block for preoperative analgesia in patients with fragility hip fractures.

Methods: A prospective observational study was conducted at the National Trauma Center in Nepal, involving 72 patients aged 60 years or older with hip fractures. Patients received either an FIB or PENG block using 20 ml of 0.25% ropivacaine under ultrasound guidance. Pain scores (VAS) were recorded at baseline, 15 min, 2 hr, 4 hr, 6 hr, and 12 hr post-block.

Results: The PENG group demonstrated consistently lower VAS scores at all time points. Motor block and complications were also lower in the PENG group. The duration of block performance was slightly longer in the PENG group.

Conclusion: The PENG block provided superior analgesia with fewer complications compared to FIB and may be a preferred option for preoperative pain management in elderly hip fracture patients.

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Published

2025-09-10

How to Cite

Acharya , K. P., Yadav, R. K., Hamal, P. K., Pokhrel, N., Sherpa, T., Maharjan, S., … Pandey, D. (2025). Comparative study of fascia iliaca block vs. pericapsular nerve group block in preoperative pain management for fragility hip fractures: Fascia Iliaca vs. Pericapsular Nerve Group Block for Hip Fractures. Journal of Karnali Academy of Health Sciences, 8(2), 16–19. Retrieved from https://nepjol.info/index.php/jkahs/article/view/84651

Issue

Vol. 8 No. 2 (2025): May-Aug

Section

Original Articles

License

Copyright (c) 2025 Krishna Prasad Acharya , Rupesh Kumar Yadav, Pawan Kumar Hamal, Nabin Pokhrel, Tshering Sherpa, Surendra Maharjan, Jeevan Tamang, Ribesh K.C., Deepak Kumar Yadav, Neetish Kafle, Gyanendra Nepali, Dipendra Pandey

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This work is licensed under a Creative Commons Attribution 4.0 International License.