Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Femoral neck fractures frequently occur in the elderly, leading to significant pain and reduced movement. Effective analgesia is crucial for minimising problems, facilitating early mobilisation, and enhancing overall results. Regional nerve blocks are progressively utilized for analgesia in these fractures. The femoral nerve block (FNB) has traditionally been utilized, however the pericapsular nerve group (PENG) block has lately surfaced as a viable option, providing targeted analgesia with possible motor‐sparing advantages. To compare the efficacy, safety, and functional outcomes of FNB versus PENG block in patients with femoral neck fractures. The present study was a prospective study was conducted in 60 patients diagnosed with femoral neck fractures for a period of 6 months. Participants were divided into two groups: one receiving an ultrasound‐guided FNB and the other a PENG block. Primary outcomes included pain scores measured by the Visual Analog Scale (VAS) at rest and during movement at 0, 1,6,12, and 24 hours post‐procedure. Secondary outcomes assessed motor block intensity, opioid consumption, time to mobilization, and any block‐related complications. Results were analysed using SPSS 20.0 version and the association was tested using Chi square test. The baseline characteristics of patients in the FNB and PENG groups were comparable, with no significant differences in age, sex, ASA status, or type of surgery (p > 0.05). The PENG group showed significantly lower cumulative morphine consumption at 48 hours (18.4 ± 6.2 mg vs. 26.7 ± 7.8 mg, p < 0.001) and reduced VAS pain scores at 2, 12, and 24 hours postoperatively (p < 0.05). Quadriceps strength was better preserved (p < 0.001), and time to first ambulation was shorter (p < 0.001) in the PENG group. Opioid‐related side effects were also lower (p = 0.04), with no difference in hospital stay length (p = 0.27). The PENG block provides superior analgesia with better motor preservation compared to the femoral nerve block in the management of femoral neck fractures. These findings support its use as a preferred regional anaesthesia technique in preoperative and perioperative settings for improved patient outcomes.
How to cite this article:
P. Madhu Priya and A. Balakrishnan. Comparison of Femoral Nerve Block Versus Peng Block in Treating Femoral Neck Fractures.
DOI: https://doi.org/10.36478/makrjms.2025.4.166.170
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.4.166.170