الفهرس 
ANATOMY OF NERVES OF LOWER LIMBOnly 14 pages are availabe for public view
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Abstract
abstract
proximal femur fractures are common fractures especially in elderly population.It is common that they lead to immobility or hindrance in daily life. In addition, elderly people can have surgical problems as well as multiple medical complications.
The study aimed to Studying the effect of the pericapsular nerve group (PENG) block on providing perioperative analgesia and improving functional recovery following total hip arthroplasty.
This prospective randomized controlled trial study was conducted in Ain Shams University Hospitals. Thirty six adult patients scheduled for proximal femur fracture fixation under spinal anaesthesia were included in this study. The patients’ age was above 18 years old and with the American Society of Anaesthesiologists (ASA) Class I, II and III. At the the beginning of the surgery, patients were randomized using a random number table and the use of a closed envelopes technique were used to receive either ultrasound guided pericapsular nerve group block (PENG) block, or normal saline (no PENG block), each group constitutes 18 patients.
Regarding NRS our study revealed marked reduction in NRS in the 1st 24 hours postoperatively in PENG group with mean 4/10 compared to 6/10 in control group.As regards the time to 1st rescue analgesia, our study revealed that there was significant shorter duration to first rescue analgesia in control group,as mean time in control group was 13 hours compared to 19 hours in PENG group. Regarding to total morphine consumption, our study revealed marked decrease in morphine consumption in the 1st 24 hours post operatively with mean of 3mg in PENG group and 6mg in control group. Regarding the mobility after surgery ,we found that 17 patients out of 18 who received PENG block could stand at 24 hours post operatively in comparison to only 6 patients in control group.