Hip Fractures
Conditions
Interventions
Participants were randomly selected from among elderly people hospitalized for hip fractures, randomized in blocks using the RANDOM.ORG system. In total, there are 4 blocks consisting of 8 patients ea
Sponsors
Gustavo Martins Fontes
Faculdade de Ciencias Médicas da Santa Casa de Misericórdia de São Paulo
Eligibility
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients aged 65 years or older, regardless of gender, diagnosed radiographically with an acute and displaced hip fracture. For femoral neck fractures, based on the Garden classification, we included types III and IV. For transtrochanteric fractures, classified by Tronzo, types III to V were selected) Inclusion criteria are also ASA II and III.
Exclusion criteria
Exclusion criteria: Under 65 years old, ASA I, with fractures without displacement to the femoral neck based on the Garden classification (Garden Types I and II) and transtrochanteric fractures without displacement, based on the Tronzo classification (Tronzo I and II). Patients with subtrochanteric, diaphyseal or distal femoral fractures, those with association with other fractures, pathological fractures, pseudarthrosis and previous conditions that limit hip flexion to 45 degrees will be excluded. History of allergies or reactions reported to the anesthetic used in the block or that present skin lesions close to the puncture site that may contraindicate the procedure will also be excluded. Patients with advanced renal or hepatic insufficiency, as well as those using anticoagulants at a therapeutic dose or clotting disorder prior to fracture. Finally, patients unaccompanied by legal guardians were also excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Using the PAINAD pain scale, it is expected to obtain a reduction of 50% or more in pain on hip movement in elderly patients with hip fractures submitted to PENG block preoperatively, evaluated 24 hours after blockade. | — |
Secondary
| Measure | Time frame |
|---|---|
| With a Goniometer angular measurement tool, it is expected to obtain tolerable hip flexion of 45º or more after Peng block in the preoperative period of elderly patients with hip fracture admitted to the emergency department. | — |
Countries
Brazil
Contacts
Public ContactGustavo Fontes
Hospital Municipal Dr Alípio Corrêa Netto
Outcome results
None listed