Comparative Study of Fascia Iliaca Block vs. Femoral Nerve Block for Postoperative Pain Management in Hip Fractures

Authors

  • Mehvish Saif MBBS, FCPS Anesthesia, Senior Registrar, Anesthesia, Services Hospital, Lahore, Pakistan.
  • Rabial Ghafoor MBBS, FCPS Anesthesia, Senior Registrar, Anesthesia, King Hammad University Hospital, Pakistan.
  • Palvesha Amin MBBS, MS Anesthesia, Senior Registrar, Anesthesia, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan.
  • Muhammed Ameer Hamzah MBBS, Registrar, National Hospital & Medical Centre, Pakistan.
  • Maryam Shoukat MBBS, FCPS, Postgraduate Resident, Anesthesiology, Hameed Latif Hospital, Lahore, Pakistan.
  • Sami Ur Rehman Department of Anesthesia, Doctors Hospital and Medical Centre, Lahore, Pakistan.

Keywords:

Fascia Iliaca Block, Femoral Nerve Block, Hip Fracture, Postoperative Pain, Regional Anesthesia, Numeric Rating Scale.

Abstract

Introduction: An effective postoperative analgesia as part of hip fracture management is key in optimising the recovery of a patient. Of the available regional specific techniques of administration of Anesthesia, the Fascia Iliaca Compartment Block (FICB), and the Femoral Nerve Block (FNB) have become routine in regards to perioperative Anesthesia of Hip surgery. However, there is still a scholarly debate concerning the relative efficacy of the two procedures. For this reason the study that will be conducted aims to critically evaluate and compare the analgesic strength of the FICB and FNB when it comes to ensuring a postoperative pain relief of elective hip arthroplasty patients.

Methodology: It was a prospective, randomized, and comparative study done at Central Park Teaching Hospital, Lahore between June 10, 2024, and December 9, 2024. Eighty individuals coming to elective hip arthroplasty were recruited into two groups randomly: FICB and FNB. All subjects were given spinal anesthesia. The assessment of pain applying the Numeric Rating Scale (NRS) was conducted both prior to the nerve block operation and within the action of spinal anesthesia. The data are interpreted using SPSS version 25.0 with p-value of p 0.05.

Results: The score pain at the time of pre-block did not differ between the two groups (p=0.196). Nonetheless, the participants in the fascia iliaca compartment block (FICB) group reported significantly reduced pain scores during spinal anesthesia positioning (1.90±0.74) when compared to those registered in the fascia neutraflex block (FNB) group (2.78±0.83) post-the commencement of the procedure (p=0.001).

Conclusion: Comparison of fentanyl with caudal bupivacaine (FICB) with fascia iliaca nerve block (FNB) used in reducing preoperative pain during spinal anesthesia positioning in individuals undergoing hip arthroplasty inception showed a significant difference in the pain reduction (p<0.05) with FICB being more effective. It can, therefore, be concluded that FICB is the most optimal local anesthetic method that should be used in the preoperative pain management of hip fracture surgical procedures.

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Published

2026-08-27

How to Cite

Mehvish Saif, Rabial Ghafoor, Palvesha Amin, Muhammed Ameer Hamzah, Maryam Shoukat, & Sami Ur Rehman. (2026). Comparative Study of Fascia Iliaca Block vs. Femoral Nerve Block for Postoperative Pain Management in Hip Fractures. International Journal of Pharmacy Research & Technology (IJPRT), 16(2), 3702–3706. Retrieved from https://www.ijprt.org/index.php/pub/article/view/2913

Issue

Vol. 16 No. 2 (2026)

Section

Research Article

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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