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OpenTrials
Completed

NCT Number: NCT06990958

Comparing Erector Spinae and Fascia Iliaca Blocks for Pain Relief After Femur Surgery.

This clinical study compares two types of nerve blocks used to control pain in adult patients undergoing surgery on the upper (proximal) or middle (midshaft) part of the femur (thigh bone). The two blocks being studied are the Erector Spinae Plane (ESP) block and the Fascia Iliaca Compartment (FIC) block. Both techniques are commonly used in hospitals to reduce postoperative pain.

The goal is to determine which nerve block provides more effective pain relief, reduces the need for opioid medications, and supports faster recovery in patients following femur surgery. Results from this study may improve pain management strategies for similar procedures in the future.

Adults scheduled for proximal or midshaft femur surgery may be eligible to participate. Eligibility is determined based on clinical criteria reviewed by the study team.Administration of one of the two nerve blocks before surgery.Standard surgical and postoperative care.

Monitoring of pain levels at specific time points after surgery

Recording of opioid medication usage

Evaluation of patient satisfaction and any side effects related to the nerve block

Duration:

The intervention (nerve block) is administered once before surgery. Data collection continues during the immediate postoperative period and for a short time following surgery to assess outcomes.

Both nerve blocks are considered safe and are regularly used in clinical practice.

All procedures are performed by qualified clinicians, and safety monitoring is conducted throughout the study.

Participants may experience improved pain relief and reduced need for opioid medications. While direct benefit cannot be guaranteed, information gained from the study may help improve pain management for future patients undergoing similar surgeries.

Participation in the study is completely voluntary. Patients may choose not to participate or may withdraw from the study at any time without affecting the quality of their medical care.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

kasr alainy hospital -Cairo university , cairo

Cairo, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • age 18-80
  • American society of Anathesiologist physical status ASA Ior II
  • Patients undergoing Fixation of femur fractures

Exclusion criteria

  • Refusal of participation in study.
  • Bleeding disorders (platelets count < 80,000, INR >1.5, Prothrombin concentration < 60%).
  • Skin lesion, wounds or infection at the puncture site. Known allergy to local anesthetic drugs.
  • Known local anesthetic (LA) drug sensitivity. -

Treatment and study plan

Erector Spinae Plane Block (ESPB) group

Procedure

ultrasound guided erector spinae plane block (at lumbar level) in lateral position .

Fascia iliaca compartment block (FICB)

Procedure

ultrasound guided suprainguinal approach in supine position

Primary outcomes

  1. duration of the block

    Time frame: 15 minutes after extubation till 24 hours postoperative

    time starting immediatelyafter giving the block till the first postoperative analgesic rescue which will be used if the pain score exceeds 4/10

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Erector Spinae Plane Block Versus Fascia Iliaca Compartment Block for Analgesia in Proximal and Midshaft Femur Surgeries in Adult Patients: A Randomized Controlled Study

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
May 25, 2025
Registry last updated
Dec 2, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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