Femoral Rami Obturator Nerve Trunk (FRONT) Block in Intramedullary Nail Surgery .
Trial Parameters
Brief Summary
The study propose that using femoral rami obturator nerve trunk(FRONT) block may help postoperative analgesia in nail femur surgeries. The technique is relatively new, introducing one needle to target two nerve blocks in the same entry point. The block spare motor fibers of femoral nerve so it may help both early mobilization and effective analgesia, which in turn enhance early recovery and better outcomes.
Eligibility Criteria
Inclusion Criteria: * the elderly age≥60 years * American Society of Anesthesiologists (ASA) classification 1-2 * patients who undergoing surgery for intramedullary nail surgery. Exclusion Criteria: * patient refused to participate and consent * patients with a history of mild cognitive impairment (MCI), dementia, and delirium * patients with known preoperative infections (pulmonary infection, urinary infection, and sepsis). * coagulopathy