Why the study?
Distal femur fractures cause severe pain that can lead to adverse outcomes if poorly managed, and regional techniques preserving thigh motor function may provide effective analgesia.
SIFIB and PENG block catheters provided effective continuous analgesia and facilitated early mobilization without opioid use in a patient undergoing tenolysis surgery for a distal femur fracture.
May support opioid-sparing continuous blocks after distal femur surgery; hypothesis-generating and requires prospective validation.
A distal femur fracture is an orthopedic condition that can be seen in all age groups and causes severe pain both preoperatively and postoperatively. Poorly managed pain can lead to hemodynamic changes, the need for additional analgesic drugs containing opioids, increased hospital stay, delayed mobilization, and patient dissatisfaction. Regional anesthesia techniques can be used for preoperative and postoperative analgesia. Suprainguinal fascia iliaca block and pericapsular nerve group block are applications included in regional techniques that preserve motor functions of the thigh. We also share our experience of suprainguinal fascia iliaca block and pericapsular nerve group block catheter application that we applied to a patient who underwent tenolysis surgery due to a distal femur fracture and adhesion in the quadriceps muscle group.
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Taşkın et al. (2025) studied this question.
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