The postoperative analgesic efficacy of three peripheral nerve blocks in hip fracture surgery: a systematic review and meta-analysis of randomised trials.

ABSTRACT:

Introduction

Anaesthesia for hip fracture surgery is often supplemented with a peripheral nerve block (PNB) to reduce postoperative pain. Common PNBs include fascia-iliaca compartment block (FICB) and femoral nerve block (FNB). Since the introduction of the pericapsular nerve group (PENG) block, debate continues as to which technique provides superior analgesia. This review aimed to compare the postoperative analgesic efficacy of three PNBs when administered perioperatively to adult hip fracture patients.

Methods

CINAHL, Cochrane CENTRAL, Embase, Medline, Web of Science and Google Scholar were searched in April 2025. Statistical analysis was performed using a random-effects model.

Results

19 randomised trials (1059 patients) were included. Pain scores between PENG and

SUBMITTER: Vermazen K 

PROVIDER: S-EPMC12775034 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature