[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100490013":3},{"organization":4,"armGroups":7,"interventions":26,"overallOfficials":32,"centralContacts":47,"locations":54,"responsibleParty":73,"collaborators":32,"id":76,"slug":77,"hasResults":78,"nctId":79,"briefTitle":80,"officialTitle":81,"acronym":32,"eligibilityCriteria":82,"healthyVolunteers":78,"sex":83,"minAge":84,"maxAge":32,"enrollmentInfo":85,"targetDuration":32,"studyType":88,"phases":89,"briefSummary":91,"conditions":92,"keywords":94,"overallStatus":57,"whyStopped":32,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":103,"completionDateStruct":105,"leadSponsor":107,"locationsCount":108},{"fullName":5,"class":6},"Zagazig University","OTHER_GOV",[8,14,21],{"label":9,"type":10,"description":11,"interventionNames":12},"control group","PLACEBO_COMPARATOR","patients will be operated on under general anesthesia",[13],"Other: control",{"label":15,"type":16,"description":17,"interventionNames":18},"LSP group (lumbar and sacral plexus block)","ACTIVE_COMPARATOR","patients will receive ultrasound-guided combined lumbar and sacral plexus blocks with 40 ml of 0.25% of bupivacaine.",[19,20],"Procedure: LSP","Device: Ultrasound",{"label":22,"type":16,"description":23,"interventionNames":24},"CP group (circum-psoas block)","patients will receive ultrasound-guided circum-psoas blocks with 40 ml of 0.25% of bupivacaine.",[25,20],"Procedure: CP",[27,33,38,42],{"type":28,"name":29,"description":30,"armGroupLabels":31,"otherNames":32},"OTHER","control","patients will receive standard general anesthesia",[9],null,{"type":34,"name":35,"description":36,"armGroupLabels":37,"otherNames":32},"PROCEDURE","LSP","patients will receive standard general anesthesia followed by ultrasound-guided combined lumbar and sacral plexus blocks with 40 ml of bupivacaine 0.25%.",[15],{"type":34,"name":39,"description":40,"armGroupLabels":41,"otherNames":32},"CP","patients will receive standard general anesthesia followed by ultrasound-guided circum-psoas blocks with 40 ml of bupivacaine 0.25%.",[22],{"type":43,"name":44,"description":45,"armGroupLabels":46,"otherNames":32},"DEVICE","Ultrasound","ultrasound",[22,15],[48],{"name":49,"role":50,"phone":51,"phoneExt":52,"email":53},"Shereen E Abd Ellatif, MD","CONTACT","01007948840","002","shosh.again@gmail.com",[55],{"facility":56,"status":57,"city":58,"state":59,"zip":60,"country":61,"countryCode":62,"cosmosGeoPoint":63,"geoPoint":68,"contacts":69},"Shereen E Abd Ellatif","RECRUITING","Zagazig","Alsharqia","4115","Egypt","EG",{"type":64,"coordinates":65},"Point",[66,67],31.502,30.58768,{"lat":67,"lon":66},[70,71],{"name":49,"role":50,"phone":51,"phoneExt":52,"email":53},{"name":49,"role":72,"phone":32,"phoneExt":32,"email":32},"PRINCIPAL_INVESTIGATOR",{"type":72,"investigatorFullName":74,"investigatorTitle":75,"investigatorAffiliation":5,"oldNameTitle":32,"oldOrganization":32},"Shereen Elsayed Abd Ellatif","associate professor of anesthesia and surgical intensive care","100490013","circum-psoas-blocks-versus-combined-lumbar-and-sacral-plexus-blocks-in-hip-fracture-surgery-100490013",false,"NCT05660603","Circum-Psoas Blocks Versus Combined Lumbar and Sacral Plexus Blocks in Hip Fracture Surgery","Circum-Psoas Blocks Versus Combined Lumbar and Sacral Plexus Blocks for Sensory Level and Postoperative Analgesia Obtained in Hip Fracture Surgery","Inclusion Criteria:\n\n* Patient acceptance.\n* BMI ≤ 30 kg\u002Fm2\n* ASA I-III.\n* First unilateral surgery for hip fracture including femoral neck, intertrochanteric or subtrochanteric fracture.\n* Patient with planned hip fracture surgery within 24-72 hours under general anesthesia.\n\nExclusion Criteria:\n\n* Multiple trauma, multiple fractures, or pathological fractures\n* Prosthetic fracture or usage of bone-cement fixation in the surgery.\n* Scheduled for bilateral hip fracture surgery.\n* Pre-existing neurological deficit in the lower extremity\n* Contraindication for peripheral nerve block (infection at the site of needle insertion, coagulopathy, allergy to local anesthetics used)\n* History of chronic pain and taking analgesics\n* History of cognitive dysfunction or mental illness","ALL","60 Years",{"count":86,"type":87},63,"ESTIMATED","INTERVENTIONAL",[90],"NA","Hip fracture (HF) is one of the major worldwide problems that constitute a significant mortality rate, ranging from 14- 36% in the first year after injury, and is associated with profound temporary and sometimes permanent impairment of independence and quality of life in the geriatric population. Surgical treatment is considered the best option for patients with hip fractures,s especially in the elderly, however, it is associated with moderate to severe postoperative pain.\n\nPain is one of the main factors limiting ambulation, increasing the risk of thromboembolism by immobility and causing metabolic changes that affect other systems. Therefore, individualized pain management with the use of appropriate analgesic techniques is of paramount importance. Moreover, early intervention of rehabilitation aiming at a better postoperative recovery may reduce the length of hospital stay and return to daily. Effective pain management is one of the crucial components in enhanced recovery after surgery (ERAS).\n\n• Numerous regional anesthetic techniques have been used to provide analgesia following hip fracture surgery, including intrathecal morphine, epidural analgesia, fascia iliaca block, lumber plexus block, and sacral plexus block, however, each of these techniques has specific limitations that prevent them from being the analgesic technique of choice for hip fracture surgery.\n\nTo our knowledge, there is no study done to compare circum-psoas block versus the combined lumbar and sacral plexus blocks as pre-emptive analgesia in patients undergoing hip fracture surgery under general anesthesia.",[93],"Hip Fractures",[95,96,97,98],"circum-psoas blocks","lumbar plexus block","sacral plexus block","hip fracture surgery","2025-07-14",{"date":101,"type":102},"2025-07-17","ACTUAL",{"date":104,"type":102},"2022-12-20",{"date":106,"type":87},"2026-04-01",{"name":5,"class":6},1]