What does this research mean for the field?

Suprainguinal fascia iliaca block significantly reduces postoperative opioid use compared to lumbar erector spinae plane block, which has similar effects to the control group. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

What question did this study set out to answer?

To compare the efficacy of suprainguinal fascia iliaca block (SFIB) and lumbar erector spinae plane block (LESPB) in reducing postoperative opioid use after hip fracture surgery.

January 10, 2026Turkish Journal of Surgery1 citationsOpen Access

Comparison of ultrasound-guided suprainguinal fascia iliaca block and lumbar erector spinae plane block in hip fracture: A single-blind randomized controlled trial

EÖEcem Güçlü Öztürk BBBeliz BILGILI BOBeyza Betul Ozkurt

Key Result

Suprainguinal fascia iliaca block significantly reduced postoperative opioid use compared to lumbar erector spinae plane block, which had similar effects to the control group.

Key Points

To compare the efficacy of suprainguinal fascia iliaca block (SFIB) and lumbar erector spinae plane block (LESPB) in reducing postoperative opioid use after hip fracture surgery.
Single-blind randomized controlled trial
Participants underwent hip fracture surgery
Comparison of opioid consumption between SFIB and LESPB groups
SFIB significantly reduced opioid use in the first 24 hours post-surgery
LESPB's opioid reduction was similar to the control group
SFIB should be prioritized in multimodal analgesia approaches

Structured PICO

Does ultrasound-guided suprainguinal fascia iliaca block or lumbar erector spinae plane block reduce 24-hour postoperative opioid consumption in patients undergoing hip fracture surgery?

Population

63 adults (mean age 78.5±14.0 years, 46 females and 17 males) with American Society of Anesthesiologists (ASA) physical status I-III undergoing unilateral hip fracture surgery under spinal anesthesia.

Intervention

Ultrasound-guided suprainguinal fascia iliaca block (SFIB) with 30 mL of 0.25% bupivacaine administered prior to spinal anesthesia.

Comparator

Lumbar erector spinae plane block (LESPB) with 40 mL of 0.25% bupivacaine, or no block (control group). All groups received standard spinal anesthesia and postoperative patient-controlled intravenous morphine.

Outcome

24-hour total opioid consumption (in intravenous morphine milligram equivalents, MME)surrogate

Suprainguinal fascia iliaca block significantly reduces postoperative opioid consumption in the first 24 hours after hip fracture surgery, whereas lumbar erector spinae plane block does not provide a significant reduction compared to standard care.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

SFIB provided the greatest reduction in postoperative opioid use during the first 24 hours after hip fracture surgery. While LESPB appears to be an alternative to SFIB, it produced a reduction in opioid consumption similar to that observed in the control group. Suprainguinal FIB should be prioritized as a component of multimodal analgesia for these surgeries.

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Cite This Study

Öztürk et al. (Wed,) reported a other. Suprainguinal fascia iliaca block significantly reduced postoperative opioid use compared to lumbar erector spinae plane block, which had similar effects to the control group.

synapsesocial.com/papers/696321c391e05aa366cb8051 https://doi.org/https://doi.org/10.47717/turkjsurg.2025.2025-10-20

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