الفهرس 
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Abstract
I
ntertrochanteric fracture surgery is a common orthopedic procedure worldwide, pain may be severe, and the patients generally require a significant amount of opioid-based analgesics after such procedures.
Peripheral nerve blocks offer effective analgesia and decrease the need for opioids, thereby reducing the complications associated with the use of this class of drug.
Pain management regimens following Intertrochanteric fracture surgery include oral analgesics, periarticular injection, peripheral nerve blocks (PNBs), and intravenous patient-controlled analgesia (PCA).
Femoral nerve block (FNB) is commonly used for analgesia in patients undergoing hip surgery. The Femoral Nerve Block (FNB) is one of the easiest peripheral nerve blocks to master because the landmarks are generally easy to identify and the nerve is usually found at a superficial depth. However, prolonged motor blockade from FNB is associated with a small but clinically important risk of fall.
With the advent of ultrasonography, Fascia iliaca block can be done with a high success rate.
The aim of the study is to compare the analgesic efficacy and functional recovery of Fascia iliaca block and FNB in patients who have undergone Hip surgery.
group I (group FNB): (no. 30)
Patients received Femoral Nerve Block (FNB) a volume of 10mL of 0.5% bupivacaine needle will be injected after spinal anaethesia
group II (group FICB): (no. 30)
Patients received Fascia iliaca a volume of 10mL of 0.5% bupivacaine needle will be injected after spinal anaesthesia.
After the end of the surgery, the femoral nerve block or Fascia iliaca block will be performed according to patient group allocation.
Postoperatively, Patients will be observed and data recording will be done every 2hours for the first 24 hours, pain and opioid consumption will be assessed in the 2 groups after regaining of sensation in the contralateral limb using 10-point Numerical Rating Scale for pain (NRS). Quadriceps strength will be evaluated by asking the patient to extend the knee joint while fixation of the thigh by the examiner.