Postop Pain Control in Hip Fracture Surgeyr: Fascia Iliaca Compartment Block Versus Fracture Block

• Status: Recruiting
• Trial end date: 2022-07-01
• Target enrollment: 0
• Participant gender: All

Summary

The investigators propose to investigate the effect of intraoperative FICB and intrafragmentary fracture blockade on postoperative pain and opiate consumption using a randomized controlled trial study design. There will be three treatment groups: (1) fascia iliaca compartment blockade administered after surgical fixation using the loss of resistance technique with 30cc 0.25% marcaine (2) intrafragmentary fracture block using fluoroscopy guidance after surgical fixation with 30cc 0.25% marcaine and (3) placebo group, with no intervention.

• Phase: Early Phase 1
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Montefiore Medical Center
• Collaborator: Jacobi Medical Center
• Treatments: Anesthetics; Anesthetics, Local

Criteria

Inclusion Criteria:

• age 60 years or older

• low energy mechanism (i.e. mechanical or syncopal fall from ground level)

• extracapsular location as defined on AP and lateral radiographs of the hip

Exclusion Criteria:

• polytrauma patients with multiple injuries, high energy mechanisms (i.e. pedestrian struck, motor vehicle collision, fall from height)

• inability for the patient to consent for themselves

• pathologic fracture types (secondary to tumor or atypical fractures due to bisphosphonate use)

• intolerance or allergies to opioids or local anesthetics