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A comparative study of two ultrasound-guided nerve block combinations for pain relief and reducing opioid use after unilateral hip replacement surgery.

Comparison of Analgesic efficacy of combined Pericapsular nerve group(PENG) block with posterior pericapsular deep gluteal (PPD) block versus combined Femoral rami and obturator nerve trunk (FRONT) block with posterior pericapsular deep gluteal (PPD) block in patients undergoing unilateral hip arthroplasty. A comparative randomised control trial. - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/06/112237
Enrollment
120
Registered
2026-06-08
Start date
Unknown
Completion date
Unknown
Last updated
2026-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: PENG Block with PPD Block: Ultrasound guided Pericapsular Nerve Group (PENG) block combined with Posterior Pericapsular Deep Gluteal (PPD) block will be administered after spinal anaest

Sponsors

All India Institute of Medical Sciences, New Delhi
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: I. ASA I-II II. Age range from 18-80 years III. Patients undergoing elective, unilateral total hip arthroplasty under spinal anaesthesia. IV. Patients with HbA1C level less than 7% and FBS less than 140mg/dl.

Exclusion criteria

Exclusion criteria: i Patient does not consent to the study. ii Patient inability to communicate / operate PCA pump. iii Contraindication to regional anesthetic procedure e.g local infection in the administration site, coagulopathy, raised intra cranial pressure or a history of PDPH. iv Allergy to drugs used in the study. v Liver failure or renal insufficiency. vi Analgesic dependence. vii Cognitive impairment. viii Patients with HbA1C level more than 7% and FBS more than 140mg/dl. ix Patients with history of surgery in the relevant anatomical regions that could affect spread of local anaesthetic following FRONT, PPD and PENG block applications.

Design outcomes

Primary

MeasureTime frame
To compare the perioperative opioid consumption between combined PENG block with PPD block versus combined FRONT block with PPD block for hip arthroplasty in the first 24 hours.Timepoint: 0-24 hrs postoperatively

Secondary

MeasureTime frame
To compare the time to first rescue analgesia requirement in the post-operative period between the two groups.Timepoint: 0-24 hrs postoperatively;To compare the incidence of intraoperative hemodynamic changes between the two groups.Timepoint: Intraoperatively;To compare the time to first mobilization in the post operative period between the two groupsTimepoint: 0-24 hrs postoperatively;To compare the NRS score at rest and on movement.Timepoint: 0,2hrs,4hrs,6hrs,12hrs and 24hrs postoperatively;To compare the incidence of PONVTimepoint: 0,2hrs,4hrs,6hrs,12hrs and 24hrs postoperatively

Countries

India

Contacts

Public ContactDr Ravinder Kumar Pandey

AIIMS New Delhi

ravindrapandey1972@gmail.com9773500767

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Jun 29, 2026